Tactile cold scissor metroplasty as a novel backup method for hysteroscopic metroplasty

Objective: To study the operative, anatomic, and functional outcome of tactile cold scissor metroplasty (TCSM) as a backup method for hysteroscopic metroplasty.

Design: Case series with description of the technique.

Setting: Assiut University Women's Health Center.

Patient(s): Three cases with failed hysteroscopic metroplasty out of 127 cases with uterine septa scheduled for hysteroscopic resection.

Intervention(s): The TCSM procedure was performed in three cases under direct laparoscopic monitoring.

Main outcome measure(s): Operative time, complications, hysteroscopic appearance of the cavity, reproductive outcome, and reintervention rates.

Results: The TCSM procedure was performed successfully in the three cases with a short total operative time (10-12 minutes). Subsequent office hysteroscopic appearance was satisfactory. Patients were then followed up for a period of time ranging from 3 to 28 months. One case had a successful pregnancy outcome, one has an ongoing pregnancy, and the last one did not get pregnant so far.

Conclusion(s): Tactile cold scissor metroplasty is a useful, safe, and effective backup procedure for hysteroscopic metroplasty.