{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:43:58Z","timestamp":1778823838756,"version":"3.51.4"},"reference-count":23,"publisher":"Galenos Yayinevi","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>This is the case of a 30-year-old nulliparous patient with a complete uterine septum, double cervix and non- obstructive longitudinal vaginal septum (Class U2bC2V1 according to the ESHRE\/ESGE classification). The patient presented with severe dyspareunia and dysmenorrhea. Imaging revealed a complex M\u00fcllerian anomaly and hysteroscopic treatment was agreed. We present an approach of hysteroscopic metroplasty after insertion of a Foley catheter balloon in one uterine hemi-cavity, which serves as a guide for septum resection using a resectoscope in the contralateral hemi-cavity. No complications were encountered. The patient was discharged after a short period of observation. A post-operative evaluation revealed complete resection of the vaginal septum and the formation of a single, normal uterine cavity.<\/jats:p>","DOI":"10.52054\/fvvo.16.4.042","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T21:22:28Z","timestamp":1734988948000},"page":"497-504","source":"Crossref","is-referenced-by-count":3,"title":["Hysteroscopic treatment of complete uterine septum, double cervix and longitudinal vaginal septum (U2bC2V1): the use of a Foley catheter balloon"],"prefix":"10.52054","volume":"16","author":[{"given":"O","family":"Triantafyllidou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.K.","family":"Panagodimou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Syggelos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.F.","family":"Vlahos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2024,12]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Blanch Fons L, Estadella Tarriel J, Sim\u00f3 Gonzalez M et al. Use of an Intrauterine Foley Probe for Ultrasound-Assisted Hysteroscopic Resection of Complete Uterine Septum. J Minim Invasive Gynecol. 2020;27:581.","DOI":"10.1016\/j.jmig.2019.07.013"},{"key":"ref1","unstructured":"Blanco-Breindel MF, Kahn J, Singh M. Septate Uterus. StatPearls Publishing. 2023."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Carrera M, P\u00e9rez Millan F, Alc\u00e1zar JL et al. Effect of Hysteroscopic Metroplasty on Reproductive Outcomes in Women with Septate Uterus: Systematic Review and Meta-Analysis. J Minim Invasive Gynecol. 2022;29:465-75.","DOI":"10.1016\/j.jmig.2021.10.001"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Chan YY, Jayaprakasan K, Tan A et al. Reproductive outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol. 2011;38:371-82.","DOI":"10.1002\/uog.10056"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Chen J, Sun L, Qian H et al. Hysteroscopic Fenestration with Precise Incision of the Cavity Septum: A Novel Minimally Invasive Surgery of Complete Septate Uterus with Double Cervix. J Minim Invasive Gynecol. 2023;30:716-24.","DOI":"10.1016\/j.jmig.2023.05.005"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Di Spiezio Sardo A, Manzi A, Zizolfi B et al. The step-by-step hysteroscopic treatment of patients with vaginal and complete uterine septum with double cervix (U2bC2V1). Fertil Steril. 2021;116:602\u20134.","DOI":"10.1016\/j.fertnstert.2021.04.011"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Di Spiezio Sardo A, Vitagliano A. Hysteroscopic Metroplasty for Septate Uterus: A Technique Once Considered Dead, Now Thriving More Than Ever. J Minim Invasive Gynecol. 2023;30:681-2.","DOI":"10.1016\/j.jmig.2023.07.008"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Di Spiezio Sardo A, Zizolfi B, Bettocchi S et al. Accuracy of hysteroscopic metroplasty with the combination of presurgical 3-dimensional ultrasonography and a novel graduated intrauterine palpator: a randomized controlled trial. J Minim Invasive Gynecol. 2016;23:557\u201366.","DOI":"10.1016\/j.jmig.2016.01.020"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Fascilla FD, Resta L, Cannone R et al. Resectoscopic metroplasty with uterine septum excision: a histologic analysis of the uterine septum. J Minim Invasive Gynecol. 2020;27:1287\u201394.","DOI":"10.1016\/j.jmig.2019.11.019"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Grimbizis GF, Gordts S, Di Spiezio Sardo A et al. The ESHRE\/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28:2032-44.","DOI":"10.1093\/humrep\/det098"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Grynberg M, Gervaise A, Faivre E et al. Treatment of twenty-two patients with complete uterine and vaginal septum. J Minim Invasive Gynecol. 2012;19:34\u20139.","DOI":"10.1016\/j.jmig.2011.08.726"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Jiang Y, Wang L, Wang B et al. Reproductive outcomes of natural pregnancy after hysteroscopic septum resection in patients with a septate uterus: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2023;5:100762.","DOI":"10.1016\/j.ajogmf.2022.100762"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Louden ED, Awonuga AO, Gago LA et al. M\u00fcllerian Anomaly: Complete Septate Uterus with Simultaneous Longitudinal and Transverse Vaginal Septa. J Pediatr Adolesc Gynecol. 2015;28:189-91.","DOI":"10.1016\/j.jpag.2015.04.012"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Ludwin A, Ludwin I, Pity\u0144ski K et al. Differentiating between a double cervix or cervical duplication and a complete septate uterus with longitudinal vaginal septum. Taiwan J Obstet Gynecol. 2013;52:308\u201310.","DOI":"10.1016\/j.tjog.2013.04.034"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Noventa M, Spagnol G, Marchetti M et al. Uterine Septum with or without Hysteroscopic Metroplasty: Impact on Fertility and Obstetrical Outcomes-A Systematic Review and Meta-Analysis of Observational Research. J Clin Med. 2022;11:3290.","DOI":"10.3390\/jcm11123290"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Parodi L, Hoxhaj I, Dinoi G et al. Complete uterine septum, double cervix and vaginal septum (U2b C2 V1): hysteroscopic management and fertility outcomes-A systematic literature review. J Clin Med. 2022;12:189.","DOI":"10.3390\/jcm12010189"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Pozzati F, Mirandola M, Topozouva G et al. Complete uterine septum, double cervix, and longitudinal vaginal septum: an integrated approach for one-stop diagnosis and ultrasound-guided endoscopic treatment. Facts Views Vis Obgyn. 2023;15:167-70.","DOI":"10.52054\/fvvo.15.2.077"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Rikken JFW, Kowalik CR, Emanuel MH et al. Septum resection versus expectant management in women with a septate uterus: an international multicentre open-label randomized controlled trial. Hum Reprod. 2021;36:1260-7.","DOI":"10.26226\/morressier.573c1514d462b80296c98dfe"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Udayakumar N, Smith E, Boone A et al. Magnetic Resonance Imaging of M\u00fcllerian and Wolffian Duct Anomalies. Curr Urol Rep. 2023;24:1-9.","DOI":"10.1007\/s11934-022-01138-1"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"Valle RF, Ekpo GE. Hysteroscopic metroplasty for the septate uterus: review and meta-analysis. J Minim Invasive Gynecol. 2013;20:22-42.","DOI":"10.1016\/j.jmig.2012.09.010"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Yang JH, Chen MJ, Shih JC et al. Light-guided hysteroscopic resection of complete septate uterus with preservation of duplicated cervix. J Minim Invasive Gynecol. 2014;21:940-4.","DOI":"10.1016\/j.jmig.2014.03.009"},{"key":"ref21","unstructured":"Zhang B, Wu S, Zhao X et al. Treatment of septate uterus. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022 28;47:1487-94."},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Zizolfi B, Manzi A, Gallo A et al. Step-by-Step Hysteroscopic Treatment of Complete Uterine Septum Associated or Not with Cervical Anomalies. J Minim Invasive Gynecol. 2023;30:441-2.","DOI":"10.1016\/j.jmig.2023.02.015"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:56:22Z","timestamp":1739512582000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.16.4.042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":23,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,12]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.16.4.042","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}