Finis coronat opus? What comes after hysteroscopic metroplasty
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Updated: Sep 16, 2026
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
Salvatore Giovanni Vitale1, Pierluigi Chieppa2, Rafał Watrowski3,4
1Department of General Surgery and Medical Surgical Specialties, University of Catania, Obstetrics and Gynaecology Unit, Policlinico "G. Rodolico-San Marco" University Hospital, Catania, Italy.
Abstract:
Hysteroscopic metroplasty is widely regarded as the endpoint of septate uterus care, yet its impact on fertility remains uncertain and the postoperative cavity is seldom reassessed. Evidence on second-look hysteroscopy is equally scarce: mostly retrospective, rarely randomised, and not designed to isolate its reproductive effect. Re-inspection should arguably be reframed as an integral, fertility-oriented step rather than optional surveillance. Routine use in all patients is unjustified and not cost-effective, yet systematic omission may also overlook clinically relevant abnormalities. A selective, risk-stratified strategy is preferable, reserving it for the highest-risk women and triaging the rest with three-dimensional sonohysterography. Prospective, second-look-controlled trials are needed.
