What is a uterine septum?
This is the persistence of fibrous tissue in the middle of the uterus; This fibrous tissue thereby forms a septum that separates the uterus into two equal parts. Depending on the size of the septum, we speak of total, subtotal, corporeal and finally cervical septate uterus.
What are the risks related to the presence of uterine septum?
Sometimes the uterine septum is discovered incidentally. Sometimes it is found as part of the check-up conducted after an obstetrical accident. Indeed, the uterine wall may be responsible for recurrent miscarriages. It can also increase the risk of premature birth. Finally, it can be the cause of poor foetus positioning in the womb in late pregnancy leading the mother to opt for a caesarean section.
How is it diagnosed?
Either by looking directly into the uterus during a hysteroscopy or caesarean section or through imagery such as 2D-3D ultrasound and hysterography.
How is a uterine septum treated?
The treatment of this malformation helps reduce the rate of miscarriage and limit the occurrence of obstetric problems. The treatment is performed on an outpatient basis by hysteroscopy (see video) and only lasts 15 minutes. The septum is divided with a camera controlled electric bistouri. An anti-adherent product is installed into the uterus at the end of the procedure to limit the occurrence of synechia (postoperative reactive adhesion of anterior and posterior surfaces of the uterus).