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Depending on the purpose of the procedure we distinguish between diagnostic and operative hysteroscopy.
Hysteroscopy
Types of treatment:
- Diagnostic hysteroscopy
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The purpose of diagnostic hysteroscopy is to examine the uterine cavity (including cavity shape, endometrium and ostia of the uterine tubes) and exclude such pathological conditions as endometrial polyps, uterine cavity septum, uterine defects. The procedure is also performed to diagnose abnormal genital bleeding, infertility and habitual miscarriages.
- Operative hysteroscopy
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Operative hysteroscopy enables the excision of polyps, submucous myomas, intrauterine adhesions (uterine cavity septum). Surgical instruments (scissors, electrodes, forceps) are usually introduced into the uterus under visual supervision. The excised lesions are usually examined histologically.
Before surgery:
Two weeks prior to the procedure, the following blood tests should be collected:
- blood cell count,
- electrolyte panel,
- coagulation factors,
- blood typing,
- glucose test,
- creatinine test,
- HBsAg test,
- anti-HCV antibody test.
About the procedure:
- Hysteroscopy is a modern endoscopic procedure used in intrauterine diagnostics that consists in introducing a camera-equipped device called hysteroscope via the cervical canal into the uterine cavity.
- The uterine cavity is filled with fluid.
- The procedure lasts about 10-30 minutes.
- The procedure is usually performed under general intravenous anaesthesia.
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