Hysteroscopic Surgeries
What is hysteroscopic surgery?
Hysteroscopy is an in-office diagnostic exam that uses a thin, flexible telescope connected to a camera called a hysteroscope, which is inserted through your vagina to look inside your uterus and your fallopian tubes. A hysteroscopy is usually performed to assess any abnormal bleeding that a patient may be experiencing. It can be used to investigate problems such as heavy or abnormal periods, post-menopausal bleeding, fibroids, polyps, or infertility. It can also be used to aid in performing some minor procedures in the uterus such as removing any found abnormal fibroid or polyp tissue.
Are there any risks with a hysteroscopy?
As with most surgeries, there is a small risk of complications during and after a hysteroscopic procedure is performed. Although considered a generally safe procedure, Dr Kothari will advise on any risks beforehand. Risks include:
- Accidental damage to the wall of the uterus where a hole is made – this may require treatment with antibiotics in hospital, or in rare cases, another operation such as laparoscopy or laparotomy to repair the uterus or surrounding organs
- Accidental damage to the cervix – this is rare and can be easily repaired
- Infection, causing vaginal discharge, fever and heavy bleeding – it is usually treated with a short course of antibiotics from your doctor
- Excessive bleeding during or after surgery – this can be treated with medication or another procedure, or in very rare cases it may be necessary to have a hysterectomy (removal of the womb)
How should I prepare for a hysteroscopy?
Depending on your circumstances, Dr Kothari will advise you on any preparation requirements before your scheduled hysteroscopy. This could include:
- Having blood tests to make sure that there are no interfering health issues
- Vaginal swab to make sure there is no likelihood of infection
- Taking contraceptive precautions, as a hysteroscopy cannot be performed if you are pregnant. You may be required to have a pregnancy test on the day of your procedure
- Cease smoking to reduce the risks of complications if you are provided with anaesthetic
How long does it take for patients to recover?
A hysteroscopy generally has a quick recovery time, with patients usually discharged on the same day. You will be monitored in the hospital until the anaesthetic wears off. Patients shouldn’t drive or operate heavy machinery for up to 24 hours after the hysteroscopy, so someone will be required to drive you home after your procedure.
You will also be advised to avoid any heavy work or exercise for 24 hours. Most women experience post-operative bleeding for 2 to 7 days. Patients shouldn’t insert tampons into the vagina or engage in sexual intercourse until 48 hours after any bleeding has stopped.
If you are experiencing heavy bleeding, fever, severe pain or unusual vaginal discharge, seek medical attention immediately.