Hysteroscopy
Gynecology Gynecological surgery Hysteroscopy is a medical or diagnostic procedure that is performed inside the uterus endoscopically minimally invasively - with minimal intervention. It is carried out with the help of a special thin optical device - a hysteroscope. With hysteroscopy, important diagnostic and therapeutic operations can be performed without pain and unnecessary incisions. Read more for all the details.
Why is the procedure prescribed?
Diagnostic hysteroscopy is not a mandatory procedure for everyone. It is performed only on a doctor's prescription for certain complaints and conditions. Also, the type of procedure depends on the situation: there is a diagnostic hysteroscopy and a therapeutic hysteroresectoscopy.
Diagnostic hysteroscopy is a way to detect pathologies inside the uterus. In some cases, it allows you to see a clearer picture than on a regular ultrasound.
Medical (surgical) hysteroresectoscopy is required to eliminate the diagnosed pathology with minimal intervention.
In some cases, both procedures can be combined.
Who needs a hysteroscopy?
As mentioned above, this is not a mandatory study, it is done only by appointment. But in what cases can a hysteroscopy be prescribed?
- Suspicion of oncological disease.
- Intrauterine bleeding, in which ultrasound of the small pelvis is unable to detect the cause.
- Suspicion of infertility due to pathology of the uterus.
- Unterm pregnancy.
- Serious violations of the menstrual cycle.
- Bleeding after menopause.
- Suspicion of a number of diseases in women: for example, Asherman's syndrome, hyperplasia.
- Congenital anomalies and problems with the development of the uterus.
This accurate type of diagnosis will allow you to notice the problem in time and prescribe effective treatment as early as possible.
And what are the indications for hysteroresectoscopy?
- Removal of benign formations (polyps, fibroids).
- Different consequences of abortion - remnants of the fetal egg, synechia (tissue adhesion).
- Perforation of the walls of the uterus.
- Endometrial hyperplasia.
- Adenomyosis.
- And other diseases and pathologies inside the uterus that require minor intervention.
If you need a hysteroscopy, your gynecologist will certainly answer all the questions you may have during the appointment of the procedure. And we move on.
How to prepare for hysteroscopy? How long does it last?
The procedure should preferably be performed when your endometrium is as thin as possible. That is, 9-11 days after the end of menstruation. You will stay in the hospital for no more than three hours, and the operation itself will take about 10-15 minutes. Before the start, intravenous anesthesia is administered, or another one that is best for the patient. In some cases, analgesia is not used for diagnostic hysteroscopy. Next, the doctor will disinfect the external genitalia, vagina and cervix, expand the cervical canal using special dilators and insert a hysteroscope. To improve the view of the uterine cavity, liquid or gas is injected into it, and a special video camera is also used, which displays an enlarged image on the screen. Next, all the necessary manipulations are carried out, and at the end, the gas or liquid is pumped out.
Before performing a hysteroscopy, the doctor will prescribe a number of additional examinations. They are determined individually, but most often they are:
- ECG with a therapist's consultation;
- general blood test;
- biochemical blood analysis;
- cytological examination of a smear from the surface of the cervix and cervical canal;
- tests for hepatitis, HIV antibodies, rhesus factor, group and blood sugar.
You need to come to the procedure with the results of the prescribed tests (at the Universum clinic, we will pass them on to the doctor who will perform the operation). A few days before the examination/operation, it is advisable to give up nicotine, alcohol and heavy food. Hysteroscopy is performed on an empty stomach, so refrain from eating at least six hours in advance. We also recommend taking a shower and removing pubic hair.
Rehabilitation after hysteroscopy
Our doctors have been performing hysteroscopy in Kyiv for many years, so the patients do not have pronounced unpleasant sensations after the procedure. Modern equipment, individual approach and many years of experience are what our clinic offers. You will be able to return home immediately after the anesthesia wears off. However, in order to feel good and not harm your body, you will have to follow some recommendations for a few more weeks.
For 2-3 weeks, refuse to visit the sauna and open water. Do not take a bath - prefer a shower. Take care of physical activity - it should not be excessive. Drink enough water, avoid spicy, salty and heavy food.
You will receive other individual recommendations from your doctor. And at Universum clinic, you can count on the best service from friendly employees and professional help from qualified doctors. We care about your excellent well-being!
https://www.webmd.com/women/guide/what-is-hysteroscopy#1
https://www.healthline.com/health/hysteroscopy
During hysteroscopy, a thin instrument (endoscope) is used to examine the uterine cavity and neoplasms, which can be detected during other examinations and require an accurate diagnosis.
Depending on the type of procedure and the volume of surgical intervention, the method of anesthesia is determined. Either it is local / paracervical anesthesia or intravenous. After anesthesia, the patient is treated with an operating field, the cervix with antiseptic agents, gynecological mirrors and instruments are introduced to expand the cervical canal so that it is possible to enter the uterine cavity with a hysteroscope tube. Thanks to the camera contained in the hysteroscope, the doctor examines the uterine cavity on the screen. And only then, either an examination of the uterine cavity is performed or an additional material (biopsy) is taken - the endometrium or neoplasms.
This procedure is best performed in the first phase of the menstrual cycle, that is, on days from 5 to 10, depending on the length of your menstrual cycle, because the endometrium is thinner and allows for a diagnostic procedure.
Indications for this procedure are a polyp of the body of the uterus, endometrial hyperplasia, submucosal uterine fibroids of small sizes, foreign bodies in the uterus, synechia, removal of the fetal egg and remnants of placental tissue.
It is necessary to reduce or eliminate physical activity, alcohol consumption a few days before this type of minimally invasive intervention.
Hysteroscopy is a technique that allows only to examine the uterine cavity with the help of an endoscope, and hysteroresectoscopy is a surgical method in which additional sampling (biopsy) of the studied material or removal of the pathological process in the uterine cavity is performed.
