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In instances where the additional cervical os was not clearly recognized, the cervix ended up being gently probed by using the uterine palpator, grasper or scissors. Recognition of landmarks of the cervical channel provides reassurance associated with the sufficient recognition of this outside cervical os and facilitates utilizing the correct jet of dissection leading in to the uterine cavity. Extra maneuvers beneficial to navigate the endocervical canal to overcome stenosis associated with internal cervical