Operative hysteroscopy is a procedure that involves the insertion of an optical lens through the cervix into the uterus to treat disorders of the uterus. The optical lens or hysteroscope is used to view the inside of the uterus. Small instruments are passed through the hysteroscope to treat the medical conditions involving the uterus.
When is operative hysteroscopy indicated?
Operative hysteroscopy is indicated to correct the following uterine conditions:
- Polyps and fibroids
- Asherman syndrome (a condition where bands of scar tissue form in the uterus that may lead to infertility and menstrual changes)
- Septums (a malformation of the uterus that is present from birth)
- Abnormal bleeding (characterized by heavy or lengthy menstrual flow, as well as bleeding between periods or after menopause)
- Blockage of the fallopian tube
- Removal of residual fetal tissue after the termination of pregnancy
When should be operative hysteroscopy avoided?
Operative hysteroscopy should be avoided in:
What to expect during an operative hysteroscopy?
Before the procedure:
- The physician will take details of your medical and medication history.
- Inform the physician about any medical conditions, pregnancy, or active infection of the reproductive system.
- The physician will enquire about your menstrual cycle and the last menstrual date.
- You may get medications to induce the thinning of the endometrial lining (inner lining of the uterus).
- The physician will obtain your consent before the procedure.
- Before the procedure, the doctor may prescribe a sedative to help you relax.
During the procedure:
- You will be positioned on an operating table.
- A urinary catheter may be placed before entering the operating room.
- An IV line will be established in the arm or hand.
- The hair around the surgical site may be shaved. The cervix will be cleaned with an antiseptic solution.
- You may get local anesthesia, either an epidural or spinal block to numb you from the waist down.
- The doctor uses a speculum to view the cervix.
- Next, the doctor uses a type of forceps, called a tenaculum, to hold the cervix throughout the procedure.
- The doctor may dilate the cervix for the hysteroscope to enter.
- Once the hysteroscope reaches the uterus through the vagina and cervix, it pumps out carbon dioxide gas or a liquid solution to expand it and to clear away the blood and mucus.
- The light from the hysteroscope helps the physician to view the uterus and detect any abnormalities.
- Next, small instruments are inserted into the uterus through the hysteroscope to perform surgery.
After the procedure:
- You may be able to go home the same day if the procedure is performed in an outpatient setting.
- You can resume your regular diet.
- For extensive surgery, you may experience cramping or mild spotting following the procedure.
- After the removal of the polyps, women can attempt pregnancy in the next menstrual cycle.
- In other surgeries, pregnancy should be delayed by 3 months or as directed by the doctor.
- You may have to follow up for 2-4 weeks after the procedure.
- You may develop some rare complications after the surgery, which include:
- Heavy bleeding
- Scarring of the uterus
- Injury to the cervix, uterus, bowel, or bladder
Top What Is Operative Hysteroscopy? Related Articles
How Long Does a Hysteroscopy Take?Hysteroscopy is a procedure performed by a gynecologist to inspect inside of the uterine cavity using a thin tube with a light and camera attached to it. Hysteroscopy can take anywhere between 5 to 30 minutes or longer if a surgical procedure is being performed at the same time. Surgical procedures to treat uterine pathologies can take between 30 minutes to 2 hours as well, depending on the procedure.
Hysteroscopy is a minimally invasive surgical procedure performed to diagnose and treat women's conditions, for example, abnormal vaginal bleeding, congenital abnormalities of the female genital tract, scarring from previous procedures, and removal of uterine fibroids or tumors.
Hysteroscopy may be recommended for evaluating a number of gynecological problems, including scarring, or adhesions, from previous uterine surgery or instrumentation such as dilation and curettage (D&C).
Is Hysteroscopy Painful?Hysteroscopy is a procedure performed by a gynecologist to inspect the insides of the uterine cavity using a thin tube with a light and camera attached to it. This device is called a hysteroscope. A hysteroscopy may be performed to diagnose pathologies in the uterus or a method for surgical treatment for uterine pathologies, this is called surgical or operative hysteroscopy.
Is Uterus Cancer Fatal?Uterine cancer is not fatal when it is diagnosed and treated in the early stages. Generally, a 5-year survival rate for patients in stage 1 of uterine cancer is 90%. However, the 5-year survival rate can vary depending on the extent to which the cancer has spread.
What Are Polycystic Ovarian Syndrome (PCOS) Symptoms?Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms including irregular or no menstrual periods, acne, obesity, and excess hair growth. Treatment of PCOS depends partially on the woman's stage of life and the symptoms of PCOS.
Should Uterine Fibroids be Removed?Uterine fibroids are benign (noncancerous) growths in the uterus that often occur during childbearing years.
Uterine Fibroids (Benign Tumors of the Uterus)Uterine fibroids are benign (non-cancerous) tumors in the womb (uterus). Most uterine fibroids do not cause symptoms; however, if the fibroid is large enough and in the right location, it may cause symptoms of pelvic pain, abnormal vaginal bleeding, and pressure on the bladder or rectum. Uterine fibroids that remain small and do not grow usually do not need treatment; however, surgery to remove the fibroid may be necessary. Uterine fibroids do not cause cancer; however, there is a rare, fast-growing cancerous called leiomyosarcoma.
Uterine Fibroids PictureUterine fibroids are benign tumors of the uterus (the womb) and the single most common indication for hysterectomy. See a picture of Uterine Fibroids and learn more about the health topic.
What Are Uterine Fibroids? Symptoms, Treatment, PicturesWhat are uterine fibroids? Who gets uterine fibroids, and how can you prevent them? Learn about uterine fibroid treatments, from endometrial ablation to hysterectomy, find out what if any foods can ease symptoms of uterine fibroids, and discover what cancer risks fibroids present.
Uterine Fibroids: Test Your Medical IQWhat causes uterine fibroids? Are fibroids serious? What is the best treatment for uterine fibroids? Could you be at-risk? Take this quiz to learn all about fibroids.
Uterine Fibroids: Causes and TreatmentUterine fibroids are benign (noncancerous) growths in the uterus that often occur during childbearing years. It’s also called leiomyomas, myomas, or just fibroid. They rarely develop into cancer and do not increase the risk of cancer.
What Is a Diagnostic Hysteroscopy?A hysteroscopy is a frequently used minimally invasive diagnostic procedure that gives your doctor/gynecologist (women's specialist) a clear view of the inside of your womb (uterus).