Patient's question:
I have an itchy lower body, and my underwear is always yellow. What's going on? Is a longitudinal septum of the uterus similar to a bicornuate uterus?Doctor's answer:
Before the advent of hysteroscopic surgery, the methods for treating uterine septum involved transvaginal or transabdominal resection of the septal tissue. The former involved difficult and blind surgical manipulation, leading to incomplete resection of the septum and poor outcomes. The transabdominal approach involved making a transverse incision at the fundus of the uterus to shear the septum, or a median incision of the uterine body to trim the uterine septum, followed by uterine wall reconstruction. Both of these surgical techniques left scars on the uterus and abdominal wall, resulting in significant trauma, prolonged recovery time, and even the risk of uterine adhesion, which could affect future pregnancies. Moreover, women often needed to use contraception for several years before becoming pregnant and frequently required cesarean delivery.Hysteroscopic resection of the uterine septum is a minimally invasive surgical treatment. Hysteroscopic resection of the uterine septum involves removing vascular embryonic remnants, with minimal bleeding during the procedure, minimal trauma, and rapid recovery. Postoperatively, intrauterine devices can be placed, and artificial cycles can be used to prevent adhesion.