Operative Hysteroscopy

What is operative hysteroscopy?

Hysteroscopy can be either a diagnostic or surgical procedure for looking and working inside your uterus. The hysteroscope is a thin tube with a lighted end that’s inserted into your vagina, permitting your Broadview caregiver to examine your cervix and uterus.

How is a hysteroscope used for diagnosis?

Hysteroscopy can be used for both direct diagnosis or to confirm the results of another test. It can be combined with other procedures, such as a laparoscopic treatment of the uterus, or it may follow a procedure, like a dilation and curettage, to check the results.

What surgical procedures are done using hysteroscopy?

When used in conjunction with other treatments, hysteroscopy may serve as the visual guidance for the instruments used in a minimally invasive procedure. There are cases, though, when hysteroscopy also serves as the means to perform a surgical procedure. Tiny, custom-made instruments can be inserted through the hysteroscope and allow your surgeon to address the problem.

It’s often possible to combine diagnosis and surgery in a single procedure, if the initial phase reveals an issue. This prevents having to return for a second procedure. Operative hysteroscopy may be used for several common conditions.

Abnormal bleeding

The causes of heavy or long periods of menstrual bleeding, between regular cycles or after menopause, may be uncovered using a hysteroscope. Endometrial ablation, a technique that stops these abnormal bleeding incidents, can be performed through a hysteroscope.

Adhesions

Causing changes to menstrual flow or infertility, bands of scar tissue in the uterus, also called Asherman’s syndrome, can be located and removed using hysteroscopy.

Septums

Septums of the uterus are typically the result of a deformation of the uterus present from birth. Hysteroscopy can help identify and surgically correct this deformity.

Uterine fibroids and polyps

These noncancerous growths can be both identified and removed using a hysteroscope.

Hysteroscopy is best performed in the week immediately after your menstrual period, because it allows for the most complete view of the uterine walls. For postmenopausal women with abnormal bleeding, your Broadview OBGYN caregiver will advise you of the best time to perform this procedure.