Day 5: Congress: Wednesday, November 13, 2019

Hysteroscopic Management of Uterine Malformations


Wednesday, November 13, 2019






Live Surgery (unedited video)


Assia A. Stepanian, Amanda C. Yunker


Luis A. Pacheco, Málaga, Spain


Michael P. Diamond, Augusta, Georgia

Course Description

Case #1

Uterine septum is the most common congenital malformation reported in clinical practice. Hysteroscopic management is recognized as the gold standard for the management of this frequently encountered pathology. The following unedited video will illustrate a step-by-step approach to the hysteroscopic management of a septate uterus. Intrauterine landmarks which must be recognized to ensure safety and successful outcomes will be highlighted.

Case #2

Dysmorphic uterus (Class UI of the ESHRE/ESGE classification) incorporates all cases with normal uterine outline but with an abnormal shape of the uterine cavity excluding septa. T-shaped uterus is characterized by a narrow uterine cavity due to thickened lateral walls with a correlation 2/3 uterine corpus and 1/3 cervix. This unedited video of a hysteroscopic enlargement metroplasty of a T-shaped uterus with fundal indentation using a 15 F mini-resectoscope. The cardinal steps of the procedure are carefully explained to illustrate the procedure.

Course Objectives

Case #1 At the conclusion of this activity, the participant will be able to: 1) Describe a step-by-step approach of the hysteroscopic management of the septate uterus.

Case #2 At the conclusion of this activity, the participant will be able to: 1) Illustrate a simple approach to hysteroscopic enlargement metroplasty of the dysmorphic uterus.