HYSTEROSCOPY

Hysteroscopy is a surgical procedure where a small telescope (the size of a pencil) is used to inspect the inside of the uterus. A camera is attached to the end of the telescope and the image is viewed on a video monitor. Surgery is carried out while looking at the monitor.

DIAGNOSTIC HYSTEROSCOPY  is performed with a smaller instrument. It can be combined with a D & C (Dilatation and curettage) or an endometrial sampling.

OPERATIVE HYSTEROSCOPY.
When a problem is diagnosed during a diagnostic hysteroscopy it can be cleared or operated upon at the same time.

The operative hysteroscope is larger and has parts which allows the physician to insert operating tools like scissors, cautery or a laser.

PROBLEMS THAT CAN BE TREATED

•     Uterine polyps.
•     Uterine septum.
•     Adhesions (a scar tissue) in the uterus.
•     Same types of tubal block.
•     Uterine fibroids.
•     An old IUCD that is ‘lost’.

ROLE OF SIMULTANEOUS LAPAROSCOPY and HYSTEROSCOPY.

The surgeon may advise a simultaneous laparoscopy

•     In infertility patients to check the potency of the fallopian tubes
•     When a bicornuate (double) uterus is suspected.
•     While doing tubal cannulation in patients with blocked tubes.
•     To aid in the prevention of uterine perforation if excessive hysteroscopy surgery is performed.

WHAT TO EXPECT.

•     You will come in the morning of surgery on an empty stomach.
•     You should be able to go home in the evening.
•     In general, you will be able to return to normal activity within 1-2 days.
•     Complications are infrequent, may be same mild cramping. 

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