Hysteroresectoscopy

Hysteroresectoscopy is a high–tech procedure that allows doctors to combat diseases such as endometrial polyp and hyperplasia, and uterine fibroids. This is a safe and effective solution that can significantly improve a woman's quality of life.

What is hysteroresectoscopy

Hysteroresectoscopy is a minimally invasive surgical procedure that is used to diagnose and treat uterine diseases, including the removal of endometrial polyps and fibroids. The operation is performed using a miniature video camera with a cutting loop, which the doctor inserts through the vagina and cervix into the uterine cavity. The surgeon can perform a diagnosis, as well as remove tumors or other pathological formations.

The procedure is performed under general anesthesia, which makes it absolutely painless for the patient. Due to the absence of incisions and pain, the rehabilitation period is significantly reduced compared to traditional operations.

Hysteroresectoscopy is an alternative to more traumatic surgical methods and is the gold standard in the treatment of many diseases of the uterus.

Indications for surgery

Hysteroresectoscopy is an effective method of diagnosis and treatment of various diseases of the female reproductive system. Indications can be as follows:

• Endometrial polyps and uterine fibroids. These are benign growths that cause bleeding, abdominal pain, and other symptoms. The procedure allows not only to detect polyps and fibroids, but also to remove them.

• Abnormalities of uterine development. If a woman has problems with conception or the normal course of pregnancy, the method can help identify abnormalities in the structure of the uterus (for example, a congenital intrauterine septum)

• Intrauterine synechia (adhesions). The doctor removes them surgically to eliminate deformities of the uterine cavity.

• Uterine bleeding. If a woman suffers from abnormal uterine bleeding, hysteroresectoscopy can help determine the cause.

• Suspected uterine cancer. Surgery will help confirm or deny this diagnosis. During the diagnostic procedure, the surgeon will take tissue samples for histological analysis.

Hysteroresectoscopy is a valuable tool in the hands of a doctor that allows accurate diagnosis and effective treatment of various diseases of the female reproductive system.

Contraindications

Like any medical procedure, hysteroresectoscopy has its own contraindications. Here are some of them:

• Active inflammatory process in the pelvic organs. In this case, surgical intervention may provoke its spread.

• Pregnancy. The procedure is contraindicated in pregnant women, as it may damage the fetus.

• Severe systemic diseases. If the patient has severe diseases of the heart, lungs, liver or kidneys, surgical intervention may pose too great a risk for her.

• A recent operation on the uterus or vagina. In this case, it is necessary to give the body time to recover.

Before prescribing hysteroresectoscopy, the doctor should carefully assess the patient's health and take into account all possible risks.

Preparation

Before the operation, the doctor conducts a full medical examination to make sure that the patient has no contraindications to the procedure. Then preoperative examinations are prescribed: clinical and biochemical blood tests, coagulogram, ECG, chest X-ray, pelvic ultrasound, colposcopy, smear on flora.

Also, before the operation, the woman meets with the anesthesiologist to discuss the type of anesthesia. If you have chronic diseases or are constantly taking medications, you should discuss the possibility of their temporary withdrawal with your doctor.

In some cases, gynecological suppositories for genital tract rehabilitation may be prescribed to the patient before surgery. It is recommended to refrain from sexual intercourse 2 days before the study, and from douching and using tampons a week before. On the day of the procedure, you must come to the clinic on an empty stomach – this is a standard requirement for anesthesia.

How is the operation going

The procedure is performed under general intravenous anesthesia. Throughout the operation, the anesthesiologist monitors the patient's condition.

After treating the genitals with an antiseptic, the doctor uses special tools to expand the cervical canal and insert a hysteroresectoscope into the uterine cavity through the vagina. The device is equipped with a miniature video camera that transmits the image to the monitor screen. Also, the uterine cavity is filled with a special solution to straighten the walls of the organ for better visualization.

The surgeon examines the cervical canal, the uterine cavity, and the mouth of the fallopian tubes and identifies the pathological formations that need to be removed. Then the tissues are excised – they can be sent for histological analysis. If necessary, coagulation is performed to prevent bleeding. Then the hysteroresectoscope and the fluid are removed from the uterine cavity. The cervical canal, vagina, and external genitalia are treated with antiseptic.

Rehabilitation and recovery

After the operation, the patient is transferred to the awakening room and then to the hospital for recovery, where doctors continue to monitor her condition. You can usually leave the clinic on the same day after a follow-up examination by the attending physician.

For the first 1-2 days, the patient may experience discomfort in the lower abdomen, but the discomfort is usually easily relieved with painkillers.

The rate of recovery depends on various factors, including the type of surgery, the patient's general health, and her age. After discharge from the hospital, follow the doctor's recommendations. Standard assignments include:

• exclusion of sexual contact;

• refusal of baths, saunas, hot baths and other thermal procedures;

• restriction of physical activity;

• ban on swimming in pools and open bodies of water to reduce the risk of infection;

• antibiotic therapy.

Any surgical intervention is a complex process that requires attention to detail at all stages, from preoperative preparation to postoperative recovery. But with the right approach and strict adherence to medical recommendations, most patients recover within a few days.

Possible complications

The most common complication is the risk of infection, which can be minimized by strict adherence to antiseptics and the use of antibiotics.

Bleeding may occur during or after gynecological surgery. Another possible complication is thrombosis, in which blood clots form in deep veins, usually in the legs. This condition can become dangerous if the clot separates and moves to the lungs.

In addition, some patients may have allergic reactions to drugs for anesthesia.

Advantages of treatment at the EMC clinic

At the EMC Clinic, we strive to provide the highest level of medical care for every patient. Our team of specialists has experience working in leading foreign centers and applies advanced international approaches in their practice.

• High efficiency of hysteroresectoscopy due to the atraumatic method of removing endometrial polyps or submucous myomatous nodes. We carry out a complete removal of the formation with its pedicle, coagulation of the node bed, which practically eliminates the recurrence of the disease.

• Interdisciplinary approach to treatment. We organize consultations that involve specialists in various fields, from gynecologists and reproductologists to endocrinologists and oncologists. This allows a comprehensive approach to solving medical problems and providing the most effective treatment.

• We adhere to the principles of evidence-based medicine and work in accordance with international standards and protocols.

• The possibility of a quick preoperative examination within the same medical center for the convenience of our patients.

Do not delay taking care of yourself – make an appointment and receive high-quality medical care from professionals.

Question-answer

On what day of the cycle is a hysteroscopy performed to remove a polyp?

The operation is usually performed on the 7th-12th day of the cycle. If a woman is taking hormonal medications, the doctor may choose other days.

How long does it bleed after hysteroresectoscopy?

Spotting usually lasts 3-5 days.

When can I start having sex?

It is possible to start sexual activity after surgery 1 week after hysteroscopy.

Is it possible to lift weights after polyp removal?

After removing the endometrial polyp, you can lift weights, but not immediately – it is better to wait about two weeks for full recovery.