Gynaecological Services

Hysteroscopic Removal of Polyps and Cysts

What is a hysteroscopy?

A hysteroscopy is a procedure that allows your gynaecologist to examine your uterus to help him accurately diagnose and treat causes of abnormal bleeding. This procedure is done with the use of a hysteroscope, a thin, lighted, flexible tube that also has a camera attached to it. A hysteroscopy can be done as a diagnostic procedure or an operative procedure.

Diagnostic hysteroscopy is done to diagnose problems of the uterus and is also used to confirm test results of tests such as hysterosalpingography (HSG). HSG test is an x-ray dye test that’s used to examine the uterus and fallopian tubes. Operative hysteroscopy is performed to correct an abnormal condition that was diagnosed during a diagnostic hysteroscopy.

During a hysteroscopy, an intravenous line may be inserted into your arm or hand. Your surgeon will dilate the cervix and insert a hysteroscope through the cervix and into the uterus. This allows the surgeon to see the inside of the uterus on a screen and pick up on any abnormalities such as fibroids or polyps. With an operative hysteroscopy, your surgeon will insert tools through the hysteroscope. Your gynaecologist can also use a hysteroscope to assess potential reasons why you may have difficulty falling pregnant. Other procedures with a hysteroscope include:

  • Removal of cervical polyps
  • Removal of endometrial polyps
  • Biopsy of the endometrial lining
  • Opening up of the fallopian tubes
  • Removal of intrauterine adhesions
  • Location and removal of lost intrauterine device
  • Treatment of heavy or severely irregular menstrual bleeding
  • Removal of the endometrial lining
  • Diagnose the cause of infertility or repeated miscarriages
  • Find and remove displaced intrauterine devices (IUDs)

What are the benefits?

There are a number of benefits of undergoing a hysteroscopy. It is a safe, minimally invasive surgery that requires a shorter hospital stay than open abdominal surgery. The recovery time is shorter, and less pain medication is required after the operation.

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