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

ObjectiveTo study the operative, anatomic, and functional outcome of tactile cold scissor metroplasty (TCSM) as a backup method for hysteroscopic metroplasty.DesignCase series with description of the technique.SettingAssiut 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.ResultsThe 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.