Hysteroscopy operation
}September 15, 2021
jDr. Muhannad Al-Khatib

Hysteroscopy: What are the uses of hysteroscopy and does it have any side effects?

Hysteroscopy: What are the uses of hysteroscopy and does it have any side effects?

Table of Contents

    Hysteroscopy in Turkey is one of the latest techniques for screening and diagnosing internal uterine diseases.
     
    Some women need a hysteroscopy, what are the reasons for using it? What is a hysteroscopy and what are its benefits? . Are there complications or side effects from the application of the hysteroscope? We will learn about all this and more in more detail in the next article.

    What is meant by hysteroscopy?

    hysteroscopy (hysteroscopy) It is a process through which a look is taken inside the woman’s uterus through the endoscope known as the hysteroscope or vaginal endoscope with the aim of diagnosing some diseases such as continuous heavy bleeding, or with the aim of treating some problems, the most important of which is the delay in childbearing and knowing the reasons behind these problems.
     

    Doctors in Turkey insert a speculum through the vagina so that they can look inside the uterus.

    The endoscope is a thin tube with a camera attached to its end and is characterized by that it can be easily inserted without any need to make any cuts in the skin through the opening of the uterus and vagina.

    The images captured by the camera appear on a screen in front of the doctor or specialist who performs the hysteroscopy.

    hysteroscopy

    hysteroscopy

    There are a number of advantages that the endoscope provides over other techniques examination and treatment. This is what gives it great importance in obstetrics and gynecology and makes patients prefer it over other techniques.
    Hysteroscopy benefits:
    • The hospital stay is short.
    • The patient does not need prolonged and heavy anaesthesia.
    • The pain after the operation is minimal and does not require a lot of analgesics.
    • A single intervention to diagnose, examine and treat existing problems.
    • The technique reduces the chance of uterine adhesions and fibrosis when endometrial curettage is performed.
    • Avoid hysterectomy without an accurate diagnosis.

    Hysteroscopy plays a major role in treating infertility cases caused by infections and fibrosis in the uterus.

    where they appear study 41.9% of endometriosis patients who were infertile were able to get pregnant after using hysteroscopy without the need for ICSI.

     

    Hysteroscopy types

    There are two main types of hysteroscopy, and these types differ according to the purpose of their use, and these two types are:
     

    1. Diagnostic hysteroscopy process

    In this type of perspective Enters Your specialist doctor can see the tube in two ways, either by making an incision in the abdomen below the place of the navel.
    To be able to insert the hysteroscope tube and look from the outside into the fallopian tubes and ovaries, which helps him to know the presence of any diseases or problems in the tubes or fibrosis around the uterus.
    Or by performing an endoscopy from below without any incision in the woman's abdomen. This helps in detecting any tumors or diseases in the cavity and endometrium or cervix and also helps to take samples of foreign tissue for study and examination.
     

    2. Therapeutic hysteroscopy

    This endoscope allows troubleshooting anduterine diseases that have been diagnosed.
    The specialist in charge can treat the problem immediately as soon as it is diagnosed, as he performs the surgical intervention in the same operation so that the patient is not exposed to the procedure twice.
     

    What are the reasons for using a hysteroscope?

    There are a wide number of diseases that hysteroscopy can help in treating and diagnosing and knowing the cause of their occurrence, such as:
    • Bleeding after menopause.
    • The presence of abnormal and large amounts of bleeding from the uterus, especially after the end of the menstrual period.
    • Performing a uterine biopsy from the cervix, and the result indicates the presence of tumors or abnormal tissues.
    • Knowing the causes of infertility, delayed childbearing, or recurrent miscarriage.
    • Examination and removal of fibrosis, cysts or benign tumors in the lining of the uterus.
      Endometrial polyp and its detection by endoscopy

      Endometrial polyp and its detection by endoscopy

    • Finding and removing the IUD when it is incorrectly implanted and lost in the uterine cavity.
    • Endometrial biopsy or Tumors.
    • Curettage of the thickened inner layer of the uterus, if satisfactory, and removal of adhesions.
    The best time to do a hysteroscopy is in the first week following your period and before ovulation.
    Which provides the best and clearest vision as it does not impede the occurrence of pregnancy.
    It is strictly forbidden to use the endoscope if the woman is expected to be pregnant.

    What are the steps for a hysteroscopy procedure in Turkey?

    After the doctor explains the details of the surgical intervention to you in full and answers all the questions you may have about it. You must sign an undertaking that you agree to be subjected to this procedure, so you must read the instructions and conditions and can ask any questions or concerns you have.
    A complete examination of your general health is necessary to ensure that there is no health problem, and a blood test is performed.
     Hysteroscopy is done in one-day operations and the woman does not need to stay in the hospital.
    Before starting to insert the endoscope, the doctor prescribes sedative and sedative medications in order to be relaxed and not feel any pain.
    You must tell your doctor if you are allergic to any medication or have had problems with previous operations.
     
    The steps of the hysteroscopy procedure are as follows:
    • It is necessary to facilitate the entry of the speculum tube through the cervix, so it must be expanded first to open it easily.
    • Your doctor inserts the hysteroscope from the vagina, through the cervix, and then into the uterine cavity.
    • The uterus must be filled with carbon dioxide gas or a liquid may be pumped, so that the vision becomes clear and any adhesion is opened.
    • During the endoscopy, the doctor is interested in examining the uterine wall and is keen to take pictures and videos of what he finds. The endoscope also allows taking samples for laboratory examination.
      hysteroscopy

      Hysteroscopy operation

    • Sometimes it may be necessary to visualize the uterus from the outside using a laparoscope.
    • If benign tumors or internal fibrosis and adhesions are found, then your treating doctor can remove the tumor, especially the benign fibroids in the uterine wall from the inside.
      “You can learn about the treatment of adenoma (adenoma) by catheterization without surgery”
    • The complex hysteroscopy for treatment and diagnosis takes about 30 minutes, but for diagnosis, it does not take longer than 10 minutes.
    • After completion, the tube is withdrawn and the patient is advised to go home with a family member if she is given anesthetic.

    What are the side complications when imaging endoscopy?

    When hysteroscopy is applied for the purpose of diagnosis or surgery, full intravenous sedation may be given, and then the patient must be monitored until she regains full consciousness.
    You may notice some complications after the endoscopy and during the first two days of its procedure, including:
    • Feeling some pain and cramping in the abdomen.
    • Simple vaginal bleeding that may last for two days.
    • Feeling of discomfort or pain in the shoulders as a result of gas retention inside the body.
    If you notice severe pain in the abdomen or a high temperature in addition to bleeding in large quantities, this is a dangerous indication and may require medical intervention and you should consult your doctor.
     

    What are the risks associated with the use of hysteroscopy?

    Hysteroscopy is known to be very safe, but like other medical interventions, there are a range of risks that the patient may be exposed to.
    The incidence of these problems is low and increases in women who suffer from other diseases or take some treatments.
    Among the most important complications that a woman may suffer after a hysteroscopy operation:
    • Damage to the lining of the uterus or perforation of its wall, which may require emergency surgery and the use of antibiotics, but this is rare.
    • Damage to the cervix or bladder due to an error during the insertion of the tube, and this is also rare and you can avoid it by choosing the best gynecologists in Turkey.
    • Infections in the genital tract, which are accompanied by some vaginal secretions with an unpleasant smell and high temperature.
      This problem is addressed through the use of antibiotics.
    • Loss of consciousness when the endoscopy was performed and the patient was not numb at all or a local anesthetic was used.
      This happens to one woman in every 200 cases, and this is a result of her fear or intolerance of the pain of dilating the cervix.
    • Heavy bleeding during the hysteroscopy procedure or after it is completed and the device is removed.

    Is hysteroscopy painful?

    The degree of pain experienced varies from woman to woman and it is always important to talk to your doctor about your concerns.
    Some cases do not feel pain and some are accompanied by a slight pain, but others may feel severe pain.
     
    In the event that you decide not to resort to anesthesia, but feel discomfort and pain when inserting the endoscope, you can inform the responsible surgeon or the nurse and ask to stop.
     

    How is the recovery after the work of diagnostic and therapeutic hysteroscopy?

    Most patients are able to go home and continue their activities after a day, and some return to work on the same day.
    If the full anesthetic is given, the patient is advised to rest and return to activities after a day.
     
    During recovery, there are a number of observations:
    • Eat and drink as usual.
    • You may feel contractions similar to menstruation, in addition to some blood coming out, and this is normal and does not indicate a serious problem.
      Refer to the attending physician if you lose blood in large quantities.
    • Avoid sexual intercourse or using a lotion in the genital area until two weeks after the endoscopy to reduce the chance of exposure to bacterial infection.
    • Refer to the gynecological surgeon in charge of your case in the clinic to discuss the outcome of the laparoscopy and the optimal treatment.
     
     
     
     
     
     
     

    The most important frequently asked questions about hysteroscopy in Turkey.

    first question

    first answer

    second question

    second answer

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