Hysteroscopic Resection of a Complete Uterine and Vaginal Septum Under Laparoscopic Ultrasound Guidance

Abstract

Video Objective The aim of this video is to demonstrate the use of laparoscopic ultrasound guidance during hysteroscopic resection of a congenital uterine and vaginal septum. Setting Our patient is a 20 year old G0 female who presented for difficulty with tampon insertion and removal as well as painful intercourse. On physical exam, the patient was noted to have a complete, non-obstructing longitudinal vaginal septum with two separate normal cervices. MRI of the abdomen and pelvis showed a complete septate uterus, two cervices, and two normal kidneys. Interventions This video shows the simultaneous use of hysteroscopy and laparoscopic ultrasound to safely and successfully resect the uterine and vaginal septum. Conclusion The goal is to encourage use of this technique during similar procedures for patients with mullerian duct anomalies desiring surgical correction.