Is congenital uterine septate easy to treat?

A uterus with septate uterus is caused by the fusion of the two renal ducts, which hinders a certain absorption process and forms a congenital uterus with septate uterus. This makes the mother prone to repeated miscarriages during pregnancy. It is a common uterine developmental abnormality and can be divided into two types: complete mediastinum and incomplete mediastinum. A uterine septate can cause women to have repeated miscarriages during pregnancy and greatly increase the chances of ectopic pregnancy. So, is congenital uterine septate easy to cure?

Therefore, if women with uterine septate are not treated, they will become infertile or have repeated miscarriages after pregnancy. Of course, some patients will experience ectopic pregnancy or dystocia during delivery.

1. Hysteroscopic laparoscopic cold scissor separation method

Hysteroscopic uterine septum separation avoids the disadvantage of heavy bleeding in traditional surgery. It uses special technology, which results in less bleeding during and after the operation, less trauma, shorter recovery time, and less adhesion formation. In particular, the cold scissors protect the uterus and fertility to the greatest extent and do not affect natural conception after surgery. Effective anti-adhesion methods are taken after hysteroseptum resection to prevent the occurrence of postoperative adhesions.

2. Hysteroscopic cold instrument and plasma electroacupuncture treatment

Under hysteroscopy, cold instruments and plasma electroneedles are used to cut the mediastinum, rather than using an electric cutting loop to remove the mediastinum, as that will cause scar contracture and will not help expand the uterine cavity. It is safer and more accurate to do it under laparoscopic monitoring, and a biological anti-mucosal membrane is inserted after the operation. In addition, for cases with a larger mediastinum, it is not necessary to correct it in one go and multiple surgeries may be required. However, it is important to avoid "overcorrection" as it will cause excessive scarring of the uterine fundus, which will in turn affect conception.

3. Management during pregnancy and delivery

(1) During pregnancy, the rates of miscarriage and premature birth in women with uterine septate pregnancy are high. Monitoring should be strengthened and cervical insufficiency should be strictly observed. If there is painless cervical flattening or dilation, cervical cerclage should be performed. Check the placenta attachment site during pregnancy and detect placenta previa early.

(2) During labor, vaginal delivery is possible in women with uterine septate. However, if there is secondary uterine weakness and a prolonged second stage of labor, a vaginal examination should be performed to determine whether there is vaginal septate or whether the uterine septum has reached the external os of the uterus, hindering the progress of labor and delivery. When the delivery mode or fetal position is abnormal, the mode of delivery is determined according to the pregnant woman's age, parity, pelvis and fetal size. However, the indications for cesarean section may be relaxed as appropriate for older primiparas, those with a history of adverse pregnancy, or those with malpositioned fetuses. After laparotomy, if a longitudinal depression is found in the uterine body, it is best to make a longitudinal incision in the lower segment of the uterus and remove the mediastinum at the same time.

Because our country's medical technology has made great progress, mediastinal uterus is easy to treat. However, if a woman finds out that she has a congenital uterine septate after examination, she should undergo surgical treatment as soon as possible, otherwise it will affect her future fertility, cause frequent miscarriages, cause thinning of the uterine wall, and lead to difficulty in conception or infertility.