All About Hysteroscopy

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All About Hysteroscopy

What Is a Hysteroscopy?

Hysteroscopy is a non-invasive (no incisions) diagnostic or operative procedure, which utilizes a hysteroscope - a thin-lit telescopic device inserted through the vagina and cervix - to view inside the uterine cavity. It is used to evaluate patients with infertility, recurrent miscarriages or abnormal bleeding and to diagnose abnormal uterine conditions, such as fibroids, scarring, polyps and cancerous or precancerous growths. Hysteroscopy can be used to confirm the results of other tests, such as a hysterosalpingography (x-ray of uterus and fallopian tubes).

Diagnostic Hysteroscopy

The first step in a diagnostic hysteroscopy involves slightly widening the cervical canal with a series of dilators. Once the cervix is dilated, a hysteroscope is inserted through the cervix and into the lower end of the uterus. Carbon dioxide gas or special clear solutions are then injected into the uterus, through the hysteroscope, to expand the uterine cavity, clear blood and mucous and enable the physician to directly view the internal structure of the uterus.

Diagnostic hysteroscopy is usually conducted on an outpatient basis with either general or local anesthesia and is usually performed soon after menstruation, since the uterine cavity is more easily evaluated and there is no risk of interrupting pregnancy.

Operative Hysteroscopy

Operative hysteroscopy can be used to treat many of the abnormalities found during diagnostic hysteroscopy. . Treatment may be performed at the same time as a diagnostic hysteroscopy or at another time. Operative hysteroscopy is similar to diagnostic hysteroscopy, except that the hysteroscope is used to allow operating instruments such as scissors, biopsy forceps and electrosurgical or laser tools into the uterine cavity via a channel in the hysteroscope. Fibroids, scar tissue and polyps are then removed from inside the uterus.

Some of the gyn procedures performed hysteroscopically are:

Hysteroscopic Resection of Submucous Fibroids Hysteroscopic removal of fibroid located in the uterine cavity is extremely efficient tecnique with exce;;ent results in experienced hands.
Hyteroscopic Lysis of Endometrial Scar Tissue
Hysterosocpic Tubal Obliteration Ligation
Hysterosc[ic Tubo-Cornual Canulation
Hysteroscpic Septum Resecion
Endometrial ablation: electro-, thermal or microwave scarring of uterine lining through a hysteroscope inserted into the uterus. This procedure can be used to treat excessive uterine bleeding as an altenative to hysterectomy

Patients normally recovers within 24 hours following most hysteroscopic procedures, which is significantly less than the recuperation period for major abdominal surgery. Hysteroscopy also decreases patient post-operative discomfort. . Antibiotics and/or hormonal medication may be prescribed after surgery to prevent infection and stimulate healing.

Conclusion

Diagnosing and correcting gynecologic disorders once required major surgery and many days of hospitalization. Hysteroscopy now allows physicians to diagnose and correct many of these problems on an outpatient basis. . Before undergoing a hysteroscopy, patients should discuss any concerns about these procedures with their physician.

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All About Hysteroscopy

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