Hysteroscopic metroplasty of a uterine septum for primary infertility

Hysteroscopic metroplasty of a uterine septum for primary infertility aims to create a normal uterine cavity by removing the uterine septum, which may help implantation of pregnancy.

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.