Diagnostic procedure, Endoscopy, Ultrasound-Colour Doppler, Ultrasound, Pelvis, Obstetrics (Pregnancy / birth / postnatal period), Genital / Reproductive system female, Congenital, Obstetrics
R. H. Sawant1, A. Sawant2, T. Vu2, S. Borale3, M. Manmohan2; 1Navi Mumbai, Maharashtra/IN, 2Navi Mumbai/IN, 3Navi-Mumbai, Nerul/IN
Of the 50 patients included,
2D USG revealed 33 cases with a septate uterus (28 with incomplete and 5 with complete septa) whereas 3D USG diagnosed 30 cases to have a uterine septum (25 with incomplete and 5 with complete).
Hysteroscopy confirmed the diagnosis in 28 patients.
though both the techniques resulted in 100% sensitivity,
3D USG demonstrated a higher specificity (90.90%) relative to the 77.27% of 2D USG.
Endometrial adhesions (6),
polyps (2) and normal morphologies (9) were diagnosed with equal accuracy in the rest of the patients which corroborated with hysteroscopy.
Septate uterus is associated with poorest reproductive outcomes,
and high incidence of abortion and miscarriage and now surgical interference is the preferred method for intervention [5,6] .
On the other hand,
surgical intervention is not indicated for subseptate uterus,
which makes the differentiation between the two entities highly important.