Question
Metroplasty is the surgical procedure done for which one of the following uterine anomalies?
| A. |
Septate uterus |
| B. |
Arcuate uterus |
| C. |
Uterus didelphys |
| D. |
Imperforate hymen |
Show Answer
|
Correct Answer » A Explanation |
 |
The term metroplasty refers to reconstructive surgery of the uterus. In contemporary gynecology, when the term metroplasty is used without qualification, it most commonly refers to hysteroscopic metroplasty (hysteroscopic septal resection) for a septate uterus.
A septate uterus results from failure of resorption of the Müllerian septum after normal fusion of the Müllerian ducts. It is the congenital uterine anomaly most strongly associated with recurrent pregnancy loss. Surgical removal of the septum significantly improves reproductive outcomes.
Therefore, hysteroscopic metroplasty (septal resection) is the treatment of choice.
Explanation of Other Options
B. Arcuate uterus — Incorrect
- Arcuate uterus is a mild indentation of the uterine fundus.
- It is considered a normal anatomical variant by most modern classifications.
- It rarely affects fertility or pregnancy outcome.
- Surgical treatment is generally not indicated.
C. Uterus didelphys — Incorrect
- Uterus didelphys results from complete failure of fusion of the Müllerian ducts.
- Surgical correction is not routinely recommended because reproductive outcomes are generally satisfactory.
- Metroplasty has been described only in rare, highly selected cases and is not the standard treatment.
D. Imperforate hymen — Incorrect
- Imperforate hymen is an obstructive anomaly of the lower genital tract.
- Treatment is hymenotomy or hymenectomy, not metroplasty.
