Re: Septum resection (m/c ment)

[Guest guest]

> I am new to the group, and had a a couple of questions. Has anyone

> had a septum resection done through the cervix? I had an MRI last

> week and the RE said I have SU not BU and that he can repair it

> easily through the cervix using scissors. He made it sound pretty

> simple, outpt procedure, etc. Just wondering if anyone had this

> done, and if anyone had any advise for me? I have been ttc for 2

yrs

> and have had 2 m/c. I am anxious to get this over with. thanks

Deb,

Boy have you come to the right place! WELCOME!!!! Countless women

have had a resection on this Board. I'm hoping to have mine done in

five weeks or so. I will tell you what I know and others will chime

in, for sure.

The resection (aka septoplasty) is commonly done to remove a septum -

or wall - inside the uterus. They used to do it through a full

incision similar to that of a c-section (a long time ago), but now

they are able to go in through the cervix using a hysterospic camera

and intruments. Some docs use scissors, others catery and other

instuments that are escaping me right now. It typically is a same-

day procedure that is done under sedation. However, if it's combined

with laporoscopy to confirm the SU vs. BU dx, then it's done under

general anesthetic (sp?), although continues to be same-day surgery.

The ultimate outcome would be a complete removal of the septum...or a

decrease in it's size to below 1cm in length. Depending on the doc

and size of the septum, it may take more than once to get your septum

cleared. Recovery period is general taking it easy for a couple of

days (assumming they don't do the lap as well) and then you'd

probably be cleared to try to conceive ( " ttc " ) after having one or

two regular cycles. I can't remember who off hand, but one lady on

this Board ran a footrace or something along those lines only a few

days after surgery. I'd love to say that's a woman after my own

heart...but I'm too lazy to do that!!

Risk are: adhesions from the surgical entry into the uterus which are

treated by some docs by post-op hormones or insertion of a post-op

balloon into the uterus (...the jury is out on whether these make a

difference or not); and perforation of the uterine wall (rare, but

possible).

I'm probably not telling you anything you don't already know from

other research completed on-line. My overall suggestion to you is to

make sure that whatever doc, preferably an RE (reproductive

endocrinologist), is very experienced in performing these types of

procedures. You don't want to risk your legacy to a doc that's

just " learning " .

I hear you on wanting to just get things over with...but taking

things slowly will help you and your partner, if applicable, feel

100% comfortable with the procedure, the surgeon and the game plan to

follow.

I'm sure several women on the Board will suggest that you go through

with the laporoscopy ( " LAP " ) as well to confirm the dx of SU vs. BU.

These two are often misdiagnosed until the all-telling moment of

seeing the outside of the uterus via camara view. The BU will show a

dimple from the outside...an SU won't. SU's can most likely be

corrected while BU's typically aren't candidates for surgery.

Although MRI's can help significantly with this difference, it is not

foolproof. There are several women on this Board who were

misdiagnosed until they pushed for the lap.

I'm sorry that you've had to go through 2 m/c's thus far...I lost my

first pregnancy on September 30th of this year and can't imagine

going through more than one! Hang in there...you will find TONS of

support from women on this Board, if you haven't already.

I will be thinking of you as you process through all this new

information. It can be vary scary to hear something is wrong with

your uterus. But, rest assurred that there are MANY success stories

on this Board...they'll keep you going through the tough times.

Take care!

Kristi

31, 1 m/c

Partial SU (...we think)

[Guest guest]

Deb: Kristi did an excellent job explaining the septoplasty

procedure, but I just wanted to add some comments because I just had

my laparoscopy/hysteroscopy procedure, too, during which my RE

removed my septum. Like Kristi said, it's an outpatient procedure -

not so bad! Because I had the lap, too, they put me under general

anesthesia because they have to pump you with carbon dioxide gas to

separate your organs (so they can isolate the uterus). The worst part

about the effects of the surgery are the gas pains after the surgery,

but they only last about a week and your doc will give you

painkillers to help minimize the pain.

The surgery and pain afterward is minimal, compared to the heartache

involved in losing a baby, as you know after having 2 miscarriages.

I had my septum removed on 12/6 and am waiting for the follow-up MRI

on 1/13 to confirm that my RE was successful. Hopefully she was, and

we can start trying again in late Jan. I've been waiting to hear

these words since April (when we lost our firstborn premature baby at

24 wks due to my stupid septum). We're hoping for a wonderful 2003...

and I'm hoping for the same for all of you!

-, 35

septum-free as of 12/6 (awaiting MRI to confirm)

> > I am new to the group, and had a a couple of questions. Has

anyone

> > had a septum resection done through the cervix? I had an MRI

last

> > week and the RE said I have SU not BU and that he can repair it

> > easily through the cervix using scissors. He made it sound

pretty

> > simple, outpt procedure, etc. Just wondering if anyone had this

> > done, and if anyone had any advise for me? I have been ttc for 2

> yrs

> > and have had 2 m/c. I am anxious to get this over with. thanks

>

> Deb,

>

> Boy have you come to the right place! WELCOME!!!! Countless women

> have had a resection on this Board. I'm hoping to have mine done

in

> five weeks or so. I will tell you what I know and others will

chime

> in, for sure.

>

> The resection (aka septoplasty) is commonly done to remove a

septum -

> or wall - inside the uterus. They used to do it through a full

> incision similar to that of a c-section (a long time ago), but now

> they are able to go in through the cervix using a hysterospic

camera

> and intruments. Some docs use scissors, others catery and other

> instuments that are escaping me right now. It typically is a same-

> day procedure that is done under sedation. However, if it's

combined

> with laporoscopy to confirm the SU vs. BU dx, then it's done under

> general anesthetic (sp?), although continues to be same-day surgery.

>

> The ultimate outcome would be a complete removal of the septum...or

a

> decrease in it's size to below 1cm in length. Depending on the doc

> and size of the septum, it may take more than once to get your

septum

> cleared. Recovery period is general taking it easy for a couple of

> days (assumming they don't do the lap as well) and then you'd

> probably be cleared to try to conceive ( " ttc " ) after having one or

> two regular cycles. I can't remember who off hand, but one lady on

> this Board ran a footrace or something along those lines only a few

> days after surgery. I'd love to say that's a woman after my own

> heart...but I'm too lazy to do that!!

>

> Risk are: adhesions from the surgical entry into the uterus which

are

> treated by some docs by post-op hormones or insertion of a post-op

> balloon into the uterus (...the jury is out on whether these make a

> difference or not); and perforation of the uterine wall (rare, but

> possible).

>

> I'm probably not telling you anything you don't already know from

> other research completed on-line. My overall suggestion to you is

to

> make sure that whatever doc, preferably an RE (reproductive

> endocrinologist), is very experienced in performing these types of

> procedures. You don't want to risk your legacy to a doc that's

> just " learning " .

>

> I hear you on wanting to just get things over with...but taking

> things slowly will help you and your partner, if applicable, feel

> 100% comfortable with the procedure, the surgeon and the game plan

to

> follow.

>

> I'm sure several women on the Board will suggest that you go

through

> with the laporoscopy ( " LAP " ) as well to confirm the dx of SU vs.

BU.

> These two are often misdiagnosed until the all-telling moment of

> seeing the outside of the uterus via camara view. The BU will show

a

> dimple from the outside...an SU won't. SU's can most likely be

> corrected while BU's typically aren't candidates for surgery.

> Although MRI's can help significantly with this difference, it is

not

> foolproof. There are several women on this Board who were

> misdiagnosed until they pushed for the lap.

>

> I'm sorry that you've had to go through 2 m/c's thus far...I lost

my

> first pregnancy on September 30th of this year and can't imagine

> going through more than one! Hang in there...you will find TONS of

> support from women on this Board, if you haven't already.

>

> I will be thinking of you as you process through all this new

> information. It can be vary scary to hear something is wrong with

> your uterus. But, rest assurred that there are MANY success

stories

> on this Board...they'll keep you going through the tough times.

>

> Take care!

> Kristi

> 31, 1 m/c

> Partial SU (...we think)