Hysteroscopic morcellator system can be used for removal of a uterine septum

Objective: To evaluate whether the hysteroscopic morcellator (HM) can be used as an alternative for uterine septum removal.

Design: Case report.

Setting: Outpatient clinic of a university-affiliated teaching hospital (Catharina Hospital, Eindhoven, the Netherlands).

Patient(s): A 34-year-old Asian woman with recurrent miscarriages and a large uterine septum and bicornuate uterus.

Intervention(s): Septum removal using the HM.

Main outcome measure(s): Successful removal of a uterine septum.

Result(s): Considering obstetric complications, septum removal was carried out. Currently, septum transection using the resectoscope is the gold standard. Instead of transection we achieved nearly complete removal of a septum, using the HM.

Conclusion(s): The HM is a safe, effective, and easily manageable alternative for uterine septum removal compared with classic resectoscopy.