Bicornuate-septate uterus: a new congenital uterine anomaly

Abstract   Bicornuate uterus is class IV and septate uterus is class Vin uterine anomaly classification. Bicornuate uterus is almost always treated by laparotomy and metroplasty. But the treatment of choice for septate uterus is hysteroscopic metroplasty. Bicornuate- septate uterus which is described in this paper is a new class of uterine anomaly(between class IV & V). The advantages of hysteroscopic metroplasty to laparotomy and metroplasty have been proven previously. It is important to know if the uterine anomaly is pure bicornuate or bicornuate-septate. In the latter case, we suggest the first line of operation should be hysteroscopic metroplasty.