Comparison between Traditional Scissor and Bipolar Resectoscope in Resection of Uterine Septum | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 18 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.435785.4279 | ||
| Authors | ||
| Wafaa Mohamed Ibrahim Diab1; Amal Mohamed Alanwar Alherawy2; Mohamed Mustafa El Sayed Ali* 3; Mohammed El-Husseny El Kadosi4 | ||
| 1Lecturer of Obstetrics and Gynecology department, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Professor of Obstetrics and Gynecology department, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt | ||
| 4Assistant Professor of Obstetrics and Gynecology department, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: The most prevalent type of congenital uterine anomaly linked to infertility and repeated miscarriages is a septate uterus, which is caused by aberrant Müllerian duct development. Hysteroscopic metroplasty is the standard treatment, yet the optimal technique remains controversial. This study aimed to compare the efficacy, safety, and postoperative outcomes of traditional scissors versus bipolar resectoscope in hysteroscopic resection of uterine septum. Methods: This prospective and retrospective cohort study was conducted at the Endoscopy Unit of Zagazig University Hospitals. A total 56 women, 28 were enrolled prospectively and 28 were included retrospectively. Group I was treated using mechanical scissors, and Group II using a bipolar resectoscope. All participants underwent clinical evaluation and routine preoperative investigations before hysteroscopic septoplasty. Operative data, postoperative pain (assessed by VAS), and follow-up hysteroscopic findings after three months. Results: Age and BMI were similar between the two groups (p=0.900 and 0.530, respectively). 28.6% of patients in the bipolar group and 7.1% in the scissor group had prior failed ICSI, indicating a statistically significant difference in the indication for septoplasty (p=0.036). Blood loss, fluid deficit, and operating time did not significantly differ across groups (p>0.05). However, the bipolar resectoscope group experienced considerably less postoperative pain (3.36±1.47) on the Visual Analogue Scale than the scissor group (4.79±1.57, p=0.001). Postoperative complications and follow-up hysteroscopic findings (septum reformation and intrauterine adhesions) were comparable between both techniques. Conclusion: Both traditional scissors and bipolar resectoscope are effective and safe tools for hysteroscopic resection of uterine septum, achieving similar anatomical and clinical outcomes. | ||
| Keywords | ||
| Uterine septum; hysteroscopic metroplasty; bipolar resectoscope; traditional scissors; reproductive outcome | ||
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