Operative hysteroscopy is a minimally invasive procedure used to treat uterine disorders without open surgery. Using a hysteroscope, the uterus can be accessed through the vagina and cervix without any incisions through the abdominal wall. When possible, Drs Peter Weiss, Rebecca Brown, Kathleen Valenton, Jennifer Chen, and Quy Nguyen, at Rodeo Drive Women’s Health Center in Beverly Hills, California, use operative hysteroscopy to perform minimally invasive procedures to treat reproductive medical conditions.
You may need an operative hysteroscopy procedure if you are having uterine or reproductive issues that require treatment. Some of the health conditions treated with operative hysteroscopy include:
Your OB/GYN can perform a diagnostic and operative hysteroscopy at the same time in some circumstances. Diagnostic evaluation and treatment may be done during the same appointment, using the advanced technology available at Rodeo Drive Women’s Health Center.
The term “operation” when referring to hysteroscopy can sound frightening, but it is much less invasive than traditional open surgery. While incisions or surgical techniques may be used to correct your uterine disorder, there is no incision through the abdominal wall. In most cases, operative hysteroscopy is an outpatient procedure that can be performed in-office and does not require general anesthesia.
Hysteroscopies are usually done shortly after you have your menstrual period or when you are not bleeding.
You should not use any vaginal treatments 24 hours before the procedure including tampons, medications, or internal cleansing procedures like douching.
It is best to have someone bring you to your appointment that can drive you home in case anesthesia is used during your procedure. Your physician at Rodeo Drive Women’s Health Center will give you additional instructions on how to prepare for your appointment.
Operative hysteroscopy uses a hysteroscope to explore and treat uterine disorders. The hysteroscope enters the uterus through the vaginal canal and cervix, allowing your physician access to the affected area. You may be given a local anesthetic or general anesthesia to eliminate any discomfort.
First, a speculum will be inserted into vaginal canal to view and dilate the cervix to allow access of the hysteroscope. Your physician expels a gas or fluid into the cavity through the hysteroscope to expand the uterus for a better view during the procedure. If there is tissue that needs treatment or removal, small instruments are used to perform the minor surgery, by using the hysteroscope images to guide your physician.
In most cases, an operative hysteroscopy can be performed in one hour or less. After the procedure is complete, your OB/GYN will give you instructions for post-procedure care.
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