Hysteroscopic Resection of Intrauterine Adhesions

Intrauterine adhesions are stretchy or thick bands of connective tissue (like scar tissue developed after injury) which could be formed in the uterine cavity.

They cstick the internal parts of the uterine cavity with each other so ithe destroy the architecture of the cavity and its functionality.

What are the causes of adhesions?

The most common cause is one or more procedures of Dilation and Curettage (D&C).

Other causes:

Uterine infection (endometritis) 

 

What are the symptoms?

 

What should I do?

Many times adhesions show up on a transvaginal ultrasound. The treatment of choice is hysteroscopy.

 

What is Hysteroscopy?

Hysteroscopy is a way for the endoscopic surgeon doctor to look at the lining of the uterus. Through this procedure it is used a hysteroscope, a tiny tube (it has diameter of 3 to 10 mm) which carries a light and camera at the end.

The hysteroscope provides the image onto a high-definition video screen.

The hysteroscope is inserted into the womb through vagina and cervix, which means that there is no need for surgical wounds.

 

How is Hysteroscopic resection of intrauterine adhesions performed?

Through hysteroscope, an instrument (a scissor) is inserted into the womb and cut the adhesions. Sometimes, after this procedure it is essential be placed an intrauterine device (IUD) in order to prevent the reappearance of adhesions.

 

Is it necessary to stay at hospital after a hysteroscopy?

Usually, a mild sedative is used, so woman can discharge from the hospital few hours after the procedure.

 

How do I decide which option is better for me?

Talk to Gynecologist- Endoscopic surgeon Dr. Marinakis.

Doctor should examine you in order to be assured that there is an indication for an operative Hysteroscopy.

If they have discouraged you from Hysteroscopy, and you do not have enough information not only about the indications of the procedure, but also about your treatment planning, you may be in the wrong place!

Overall, hysteroscopy is a really safe procedure; however every single medical practice is safe only if it is managed by a specialist.

 

Gynecologist Dr. Marinakis specialises in gynecological hysteroscopy. He is certified in advanced laparoscopy and hysteroscopy by Royal College of Obstetricians and Gynecologists. He was also a member of Laparoscopic training unit “MATTU” in United Kingdom.

 

How much does a hysteroscopy cost?

The cost of a diagnostic hysteroscopy is low and it usually depends on your health insurance cover.

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