Hysteroscopy is the process of sending a narrow telescope with a light source and camera at its tip into the uterus for the detection and treatment of abnormal uterine bleeding or intrauterine abnormalities. Optical devices produced for this procedure are called Hysteroscopes.
Hysteroscopy is the process of sending a hysteroscope device into the uterus for both diagnostic and therapeutic purposes. If hysteroscopy is to be used only for diagnostic purposes, it is performed using narrower cameras and is called Diagnostic Hysteroscopy.
If hysteroscopy is to be used for therapeutic purposes, larger cameras are used and the device performs cutting and bleeding control procedures in the uterine cavity. In this case, the procedure is called Operative Hysteroscopy.
Hysteroscopy is basically used for the treatment of abnormal uterine bleeding and correction of some congenital uterine disorders.
It is also a frequently used imaging technique for the finalization of the results of hysterosalpingography, i.e. hysterosalpingography, which is a uterus film performed before hysteroscopy.
Here are some diseases where hysteroscopy is used as a basic treatment tool;
Hysteroscopy is an imaging procedure for the inside of the uterus.
Before hysteroscopy, it was not possible to visualize problematic tissue inside the uterus. Curettage was attempted to blindly remove the tissue with cannulas. Curettage is considered a technique with a low chance of success compared to hysteroscopy.
Bleeding caused by millimetric myomas under the endometrium tissue in the uterus could not be prevented by curettage. Hysteroscopy provides very easy access to myomas and polyps embedded in the uterine wall and offers a treatment option.
With additional instruments attached to hysteroscopy, myomas and polyps can be safely removed from the uterine wall area where they are located.
It was not possible to intervene in congenital anomalies that negatively affect reproduction and pregnancy, such as uterine septum, before hysteroscopy. Today, these problems can be corrected with a 20-25 minute hysteroscopic procedure.
IUDs embedded in the uterus or whose strings have broken are visualized hysteroscopically and safely removed.
Vaginal bleeding that cannot be treated or is resistant to treatment used to cause the uterus to be removed. Today, many women have prevented their uterus loss by using hysteroscopy.
The right time for hysteroscopy is the first week after your period ends. During this period, the endometrium, the uterine tissue, has not yet thickened, so the inside of the uterus can be visualized more easily.
If the hysteroscopy procedure is to be performed while awake, sedatives that provide relaxation are recommended before the procedure. If the procedure is to be performed under general anesthesia, sedatives are not required.
In the hysteroscopy procedure, the following sequence is performed;
Hysteroscopy surgery Ankara has become one of the most commonly used surgeries together with laparoscopy today.
Hysteroscopy is an indispensable tool especially for infertility treatment clinics. Imaging the inside of the uterus after unsuccessful embryo transfer has almost become a standard procedure in in vitro fertilization centers.
The most important risk of hysteroscopy surgery is cerebral edema, called TUR syndrome, which develops due to prolonged surgery and occurs as a result of excessive fluid loading in the body. By strictly monitoring the duration of the operation and the amount of fluid used, the surgeon performing the operation can prevent this complication.
Uterine perforation may be a possible complication in hysteroscopy. The uterine area that is perforated laparoscopically may be stitched or the patient may be monitored if there is no bleeding.
If hysteroscopy surgery is performed as a diagnostic procedure, it takes 5-10 minutes, and if it is performed as an operative hysteroscopy for surgical treatment, it takes 20-25 minutes.
Hysteroscopy cost is higher than the procedures performed in the clinic, as it is a procedure performed in the operating room conditions in the hospital because of the regulations of ministry of health in Turkey.
The need for anesthesia requires operating room conditions for hysteroscopy. While diagnostic hysteroscopy is performed in outpatient clinic conditions abroad without putting the patient to sleep, in our country we use contracted hospital operating rooms for diagnostic hysteroscopy.
If we perform the procedure for treatment with additional cutting and hemorrhage-preventing devices attached to the telescope that enters the uterus in the hysteroscopy procedure, this procedure is called operative hysteroscopy. A wider diameter optic is used in this procedure compared to the diagnostic procedure.
If we perform the hysteroscopy procedure only for diagnosis with a narrow telescope that enters the uterus, this procedure is called diagnostic hysteroscopy.
Hysteroscopy has ceased to be a dangerous procedure in the hands of trained surgeons with increasing clinical experience. However, it is recommended to be performed in centers with a rapid transition to laparoscopy and intensive care facilities.
The number of those who have undergone hysteroscopy has increased today with the increasing use of infertility and assisted reproductive techniques. The need to remove a uterus that is resistant to treatment is no longer a necessity with the hysteroscopy procedure.
Optical systems and high-resolution images provide a clearer and more accurate evaluation of the inside of the uterus.
In Vitro Fertilization after hysteroscopy has become a common routine with the use of hysteroscopy after unsuccessful embryo transfers. Many IVF specialists prefer to evaluate the uterus with a camera without leaving the embryo in the uterus.
Since fluid is used in the procedure after hysteroscopy, some bleeding and spotting continue. Menstrual irregularities can be expected in the month when hysteroscopy is performed. Later, it is expected that the menstrual cycle will return to normal with the completion of the treatment.
