Hysteroscopy

Hysteroscopy has mostly replaced the traditional Dilatation and Curettage (D&C), which is now considered as an old fashioned procedure. This technique is used both for diagnosis and treatment. The lesions in the uterine cavity can be seen during the hysteroscopy of all the walls of the uterus and also the cervix.

It.is a procedure in which a thin telescope is placed through the cervix into the uterine cavity. It can be used as a diagnostic procedure (for example, to discover the cause of heavy bleeding) and also to treat a number of conditions. These include treatment for fibroids (myomectomy), removal of polyps, septum or scar tissue, and endometrial ablation.

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What to expect with Hysteroscopic surgery:

Hospital Stay – In most cases you can go home within several hours of the surgery.

Post operative pain – Crampy period like pain is common immediately after surgery. It usually passes within 24 hours.

Vaginal Bleeding – Light bleeding is very common in the first 48 hours and usually settles within a week or so. Tampons are probably best avoided for a few days but may be used as long as they are changed regularly (ie every 4 hours). Any bleeding that is offensive or heavier than a period, significant pain or fever should be reported to your doctor.

Return to work – You can return to non-strenuous employment the next day although you may elect to have 1-2 days off (dependant on your type of employment).

Return to normal activity – Activities such as driving and sport may be resumed when you feel comfortable, although you should not drive a car within 24 hours of a general anaesthetic. Sex may be resumed once all bleeding has settled. Please ask your specialist about any restrictions specific to you.

All surgery involves risks. The risk of a particular complication may vary depending on the complexity of the surgery or the severity of your condition.

These include:

  • Perforation of the uterus <1% (diagnostic hysteroscopy), (1-2% operative hysteroscopy)
  • Injury to the bowel, bladder or ureter (If perforation has occurred) <0.25%
  • Haemorrhage <1%
  • Post operative infection <1%
  • Excess fluid absorption (rare except with prolonged operative hysteroscopy) <1%

During any operation there is a small chance that the surgeon may need to convert to open surgery to safely complete the procedure or deal with any complications.

The above  list is not exhaustive and does not include all possible risks. If you have any further concerns please feel free to ask Dr. Kamal.