Four-Dimensional Transvaginal Ultrasonography as a First-Line Non-Invasive Follow-Up After Hysteroscopic Metroplasty...

Area of Science:

• Reproductive Medicine
• Diagnostic Imaging
• Surgical Outcomes

Background:

• Dysmorphic uterus presents challenges in reproductive health.
• Hysteroscopic metroplasty is a surgical option for uterine correction.
• Postoperative evaluation methods require comparison for efficacy and cost.

Purpose of the Study:

• To compare the cost-effectiveness of 4D transvaginal ultrasonography (4D-TVUSG), hysterosalpingography (HSG), and hysteroscopy (HS) for postoperative assessment after hysteroscopic metroplasty.
• To evaluate pregnancy outcomes following hysteroscopic metroplasty for dysmorphic uterus.

Main Methods:

• Retrospective analysis of 31 patients undergoing hysteroscopic metroplasty.
• Postoperative evaluation solely via 4D-TVUSG.
• Conceptual evaluation of HSG and HS based on literature and cost data.

Main Results:

• 4D-TVUSG demonstrated superiority over HSG and HS due to its non-invasive nature, ease of use, and lower cost.
• 14 patients (45.2%) achieved pregnancy post-surgery, with a high live birth rate.
• 100% surgical success rate with normalized uterine cavities post-procedure.

Conclusions:

• 4D-TVUSG is a reliable, cost-effective, and non-invasive tool for postoperative assessment in patients with dysmorphic uterus.
• This study is the first to compare the cost-effectiveness of these three imaging modalities.
• 4D-TVUSG is proposed as a first-line follow-up tool in clinical practice for this patient group.