Hysteroscopic metroplasty of a uterine septum for recurrent miscarriage

Hysteroscopic metroplasty of a uterine septum for recurrent miscarriage aims to create a normal uterine cavity by removing the septum, and consequently reduce the risk of miscarriage.

Hysteroscopic metroplasty is usually done with the patient under general or spinal anaesthesia. After cervical dilation, a hysteroscope is inserted into the uterus through the cervix. The uterine cavity is distended with fluid; fluid control must be carefully monitored to avoid overload. The septum is excised, most commonly using microscissors, electrosurgery or laser. 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.