Hysteroscopic uterine septum resection for recurrent miscarriage

Hysteroscopic uterine septum resection for recurrent miscarriage

A uterine septum is a congenital anomaly which is a muscular or fibrous wall that divides the uterus, creating 2 cavities.

The septum may be complete or incomplete.

It is more common in women with primary infertility and who have had recurrent miscarriages.

Hysteroscopic uterine septum resection Videos

Surgical removal of the septum (metroplasty) is usually considered for women who have a septate uterus in association with repeated miscarriages (usually defined as 3 or more miscarriages in a row) and preterm deliveries.

 A hysteroscopic approach aims to reduce morbidity and shorten the recovery period.

it aims to create a normal uterine cavity by removing the septum, and consequently reduce the risk of miscarriage.

The procedure may be done using ultrasound or laparoscopic guidance. After a miscarriage, an interval of at least 6 weeks is left before doing a hysteroscopic metroplasty.

hysteroscopy-videos

 Unlike transabdominal metroplasty, caesarean section is not mandatory for patients who get pregnant after hysteroscopic metroplasty.

Hysteroscopic uterine septum Photos

Complications :

Uterine perforation during hysteroscopic metroplasty (1% )

Uterine synechiae after hysteroscopic metroplasty ( 2%)

Dr Najeeb Layyous  F.R.C.O.G

Consultant Obstetrician, Gynecologist and Infertility Specialist