24 yr old with married life of 4 yrs visits infeility clinic with h/o recurrent aboion. On fuher workup, she found to be having septate uterus. Which surgery has better reproductive outcome?: (A) Straussmann metroplasty, (B) Tomkins metroplasty, (C) Transcervical hysteroscopic resection of septum, (D) Jones metroplasty
Answer is C. Septate uterus:is the single most common Mullerian anomaly Rx: Transcervical hysteroscopic resection of septum : This surgery has better reproductive outcome Straussmans, Jones and Tomkin metroplasties are all uterine unification surgeries for bicornuate uterus. Most impoant indication for these surgeries is recurrent pregnancy losses.