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Hysteroscopic Septal Resection and Polypectomy

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Hysteroscopic Septal Resection and Polypectomy

What is Hysteroscopy and Uterine Polyps Treatment ?

Hysteroscopy is a procedure used to view the inside of the uterus using a hysteroscope (a thin, flexible, lighted tube). This method is used to diagnose and treat problems within the uterus or cervix.

Hysteroscopy is usually part of the investigations done for conditions such as abnormal uterine bleeding, subfertility, removing polyps or taking a biopsy.

Polyps inside the uterus (endometrial polyps) can cause heavy menstrual bleeding, irregular bleeding between normal periods, or abnormal bleeding after menopause. For women in the reproductive age group polyps can cause difficulty in conceiving. While in another subsection of women, polyps do not cause any symptoms at all, but are incidentally diagnosed during an ultrasound. Hysteroscopy is one of the uterine polyps treatment methods.

Uterine Septum is a congenital abnormality in which the uterine cavity is divided by a longitudinal septum. The outside of the uterus has the normal shape. Women born with a uterine septum may be asymptomatic and the condition may only be diagnosed when they face difficulty in carrying the pregnancy successfully to the full term. Removing the septum improves chances of successful pregnancy.

Hysteroscopy is done under general anesthesia and requires pre operative fasting. Your doctor may order some additional investigations to decide on your fitness for surgery and may advice some preoperative medications.

  • Hysteroscopy Procedure

    Hysteroscopy is uterine polyps removal procedure in which narrow telescope (hysteroscope) is inserted through the vagina and cervix into the uterus. A camera attached to the hysteroscope allows the uterine cavity to be shown on a TV monitor during surgery. The uterus is filled with a harmless sterile liquid to give a better view. If the womb lining is normal no further action is required. A biopsy of the womb lining is sometimes taken depending on the patient’s history. If a polyp is seen it can usually be removed at the same time. If a fibroid is seen, it may be able to remove this at the same also, but sometimes a second procedure may be required. A hysteroscopy usually takes between 10 and 30 minutes, depending on what needs to be done.

  • Advantages

    The doctor usually diagnoses this condition though pelvic examination by asking the patient to:

    It is a short procedure.
    It is the only way to diagnose certain intrauterine conditions.
    It does not involve any cuts or stitches on the abdomen.

  • Risks

    Perforation of the uterus
    Since the procedure is done under general anesthesia, it also carries with it the risks associated with anesthesia

  • Post procedure

    Most patients can go home the same day.
    You may have increased cramping and vaginal bleeding for a day or two after the procedure.
    You may experience abdominal pains for about a day or so due to the gas administered during the procedure. Walking will help relieve this pressure.
    This surgery has a quick recovery with most patients feeling much better within the first few days.

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