Septate Uterus with Double Cervix and Vaginal Septum

Uterine malformations are estimated to occur in 3-4%, of which 35% correspond to septate uterus. Consequently, this anomaly is the most common uterine malformation, with a prevalence of 1-2% in the general population. Uterine septum is caused by incomplete absorption of the junction of the two Müllerian ducts, which can lead to a complete or a partial septum. Complete septum reaches the internal os, dividing the uterus completely in two cavities. Partial septum, or subseptate uterus, divides the uterus partially and does not reach the internal os. Complete septum is classified as class Va and incomplete septum as class Vb. Septate uterus with double cervix and vaginal septum is not included in Buttram and Gibbon's classification or in that of the American Society of Fertility. We describe the hysteroscopic management of one case with that same diagnosis. The technique described by Vercellini et al was used.