Hysteroscopy is divided into two as diagnostic and operative. In hysteroscopy, performed under general or local anaesthetic, the cervix is first widened and fluid is filled into the uterus. Then the hysteroscope is advanced inside the uterus. Thanks to the hysteroscope, the inner layer of the uterus is visualised. Here the condition of the womb is examined. This is the use of hysteroscopy for diagnosis. In some cases this procedure is also used for treatment. Hysteroscopy, which can generally be used in almost every situation, cannot be used in pregnancy or in vaginal or urinary tract infections.
What Can Be Done With Operative Hysteroscopy?
Operative hysteroscopy is the operative part of hysteroscopy. With operative hysteroscopy it is possible to treat structures such as adhesions inside the uterus, fibroids and polyps. The advantageous aspect of operative hysteroscopy is that these procedures can be carried out during diagnostic hysteroscopy. However, operative hysteroscopy is performed with scissors, biopsy forceps or graspers. With this method, in order to prevent adhesions that may form again after the operation, a coil or a catheter can be placed inside the uterus. In addition, intrauterine devices that could not previously be removed with other methods can be removed with the operative hysteroscopy method. This is extremely effective especially in removing a coil whose thread cannot be seen and which has slipped into the uterus. While diagnostic hysteroscopy takes approximately 2 to 3 minutes, the duration of operative hysteroscopy can frequently reach approximately 10 to 20 minutes. Patients can generally be discharged on the same day after this operation. That is, it is carried out as a day procedure.
The Period After Hysteroscopy
After hysteroscopy it is quite normal to experience certain situations. At the head of these situations are an increase in vaginal discharge, vaginal bleeding and abdominal pain. However, pain in particular can easily be brought under control with painkillers. In some cases, after hysteroscopy doctors may advise staying away from sexual intercourse. Although rarely, after hysteroscopy excessive bleeding, a high fever, excessive vaginal discharge or severe abdominal pain can be seen. In this case patients need to consult their doctor. Hysteroscopy is an operation that must be performed by specialist doctors trained in this field. Because in procedures performed incorrectly there is a risk, albeit at a rate of 1%, of perforation of the uterus and abnormal bleeding.