Comment on “Evaluation of the success of hysteroscopic uterine septum resection”

Dear Editor, We would like to comment on "Evaluation of the Success of Hysteroscopic Uterine Septum Resection."[1] The results of hysteroscopic uterine septum resection in 38 patients with uterine septum were studied in this study. The preoperative and postoperative septal apex to uterine fundus (s1), septal apex to internal os distance (s2), and intercornual distance (s3) measurements were compared. The patients' pregnancies were tracked for a year after surgery. The findings revealed that 18 of the 38 patients (47.36%) who underwent uterine septum resection became pregnant, with 13 (72.2%) of these pregnancies resulting in live births. Fourteen of the 18 patients (77.7%) were able to conceive naturally. Term pregnancy occurred in 11 of 16 patients with a partial septum (68.7%) and in two of three patients (66.6%) with a complete septum. When comparing pre- and post-operative three-dimensional transvaginal ultrasonography measurements of the uterus, the researchers discovered a decrease in s1 and an increase in s2 (P = 0.05). Furthermore, pregnant patients had a longer uterine cavity than nonpregnant patients (P = 0.05). This study did, however, have a few flaws. The findings' ability to be broadly applied was constrained by the comparatively small sample size. The study did not specify whether the patients were assigned to the treatment group at random or if they chose the procedure on their own. Without randomization, there may be bias in patient selection, potentially affecting the study's results. Because the study only included patients who had uterine septum resection, the findings may not apply to all patients with uterine septum. This could introduce selection bias and limit the findings' generalizability. Inadequate long-term follow-up: The study only followed up with patients 1 year after surgery. A longer period of follow-up would have allowed for a more thorough evaluation of the long-term effects of uterine septum resection on pregnancy outcomes. Single-center research: The study was carried out at a single location, which may limit its external validity. Furthermore, the patients in the study were only followed up for a year following surgery, which may not be an accurate representation of long-term results. Larger sample sizes and longer follow-up times are required for future studies to confirm the findings and ascertain the actual efficacy of hysteroscopic uterine septum resection. Author contributions HD 50% ideas, writing, analyzing, approval VW 50% ideas, supervision, approval. Data availability statement Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.