Hysteroscopy-office/diagnostic/operative hysteroscopy and hysteroscopic LASER therapy.

It is direct visualization of the cervical canal and uterine cavity through a rigid, flexible or contact hysteroscope. It is diagnostic and surgical hysteroscope. Diagnostic hysteroscopy can be done in OPD basis and under local anaesthesia.

Indications :

1. Abnormal pre and postmenopausal bleeding.

2. Location of IUD and foreign bodies.

3. Diagnosis and transcervical removal of submucous myoma and endometrial polyp.

4. Diagnosis and treatment of intrauterine adhesions.

5. Diagnosis and treatment of intrauterine septum.

6. Evaluation of infertile patients with abnormal hysterogram.

7. Recurrent pregnancy loss.

8. Tubal sterilization.

When it can be done?

It can be done in the early proliferative phase of the cycle, when endometrium is thin, usually flat and atrophic.

Technique

Diagnostic hysteroscopy also called office hysteroscopy, it can be done without general anaesthesia in OPD setup. It has decrease complication rate, shorter recovery time and decrease cost. The instrument which can be either rigid or flexible is passed through the cervix and into the uterus. A distention medium usually saline is used to expand the uterus. It is best done when the endometrium is thin, that is after the menstruation. Hysteroscopy is done through vaginoscopic or no touch technique.

 

Complications

-Uterine perforation

-Bleedings

-Cervical laceration

-Intrauterine infections