Design: Sequential demonstration of a complete septate uterus treated by Hysteroscopy with Bettocchi Set

Setting: hysteroscopic approach with Bettochi set and 5-Fr scissors for the uterine septum and cervical septum. The vaginal septum approach was with cold scissors and electrocautery.

Patients or Participants: 31-year-old woman with painful intercourse since the first sexual intercourse. Magnetic Resonance Imaging showed a complete septate uterus, with septate cervix, and vaginal septum on the upper third

Interventions: Hysteroscopy was performed using the Bettocchi Set. Uterine cavity evaluation was first done through the left cervical canal. The uterine septum was then cut close to the internal orifice to allow visualization of the right side of the uterine cavity. The septum was cut cranially to the uterine fundus with 5-Fr scissors. Cold scissors and electrocautery were used to cut the vaginal septum. After 40 days, a second-look hysteroscopy with Bettocchi Set was done to evaluate synechiae formation. The uterine cavity was perfectly formed, without any synechiae. The cervix septum was then cut from the internal to the external orifice with Bettocchi Set and 5-Fr Scissors, and completed with cold scissors on the external orifice.

Measurements and Main Results: The surgery was safely performed with minimal bleeding. Patients complaining of painful intercourse were completely gone after the surgery.

Conclusion: Resection of the uterine, cervical, and vaginal septum with Bettocchi Set and Scissors showed good results in a case of a complete septate uterus with septate cervix and longitudinal vaginal septum.