**7.7. Hysteroscopic metroplasty**

Congenital uterine malformations are a group of miscellaneous anomalies in the uterine cavity that may alter the reproductive outcome of the patient. Each type of uterine anomaly has a different impact on pregnancy outcome. These are usually asymptomatic, but are sometimes associated with recurrent pregnancy loss or infertility. A uterine septum is a fibrous band that divides an otherwise normal womb into two halves. It is a much commoner condition than bicornuate uterus and can be associated with subfertility or recurrent miscarriage Obstetrical prognosis of patients presenting repeated pregnancy loss and septate uterus is statistically improved by hysteroscopic metroplasty. Hysteroscopic metroplasty is a day-case procedure and pregnancy can be attempted soon afterwards.
