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Hysteroscopy polypectomy

  • Posted on- Jan 05, 2018
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Hysteroscopy polypectomy is a procedure which is performed for the removal of uterine polyps preserving the uterus. Uterine polyps are a non-cancerous overgrowth of cells in the inner wall or lining of the uterus.
Removing these polyps is very important or else they might sometimes become cancerous.

Hysteroscopic polypectomy is a very useful surgical procedure that enables the doctor to easily remove the unwanted growth and restore a normal and healthy uterus in a woman.

What is the procedure of Hysteroscopy Polypectomy?

  1. Vaginal area is sterilized with antiseptic solution prior to the procedure to reduce the chances of infection. Additionally, antibiotics are also prescribed so that there is not even a remote chance of any infection.
  2. Hysteroscopy polypectomy is done by using a hysteroscope that is passed through the cervix and then into the uterus.
  3. A wire loop electrode is then used to cut through the tissue attaching the fibroid or polyp which helps to easily remove the tissue.
  4. Then the raw area is cauterized (burnt electrically). Hence, bleeding is controlled.
  5. The rest of the uterine cavity is also examined for any other abnormality.
  6. It is a very easy procedure and has absolutely minimum recovery time. It is very useful to determine if these abnormal fibroids or polyps are causing infertility in a woman.

What happens during the procedure of Hysteroscopy Polypectomy?

The surgery is done under general anesthesia. A long, thin instrument is passed through the vagina into the uterus. The instrument is used to remove or shave off the polyps. A hysteroscope is used as a surgical telescope for the optimum vision of the uterus. It is passed into the womb through the cervix. A liquid is then used to open the cavity of the uterus. If the lump is small, the hysteroscope can be used to extract it. This procedure is known as polypectomy.

Why is Hysteroscopy Polypectomy needed?

You may need a hysteroscopy for:
  1. Abnormal Pap test results
  2. Abnormal uterine bleeding
  3. Bleeding after menopause
  4. If suffering from repeated miscarriages or infertility, then it should be diagnosed as soon as possible.
  5. Examine and remove uterine scarring, polyps, or fibroids
  6. Find and remove displaced IUDs (intrauterine devices)
  7. Place small birth control inserts into the fallopian tubes
  8. Removal of a small tissue sample (biopsy)
  9. Removal of endometrial lining
You can’t have a hysteroscopy polypectomy if you are pregnant.

How to get ready for Hysteroscopy Polypectomy?

  • You may be asked to sign a consent form that gives permission to do the procedure. Read the form carefully and ask questions if something is not clear.
  • A physical test can be prescribed by the provider for assurance of your good health. You may have blood tests or other diagnostic tests.
  • You may be asked to fast before the procedure if you are to get local or general anesthesia. You may have local or regional anesthesia or no anesthesia. It depends on the procedure prescribed by your provider.
  • In case, you are pregnant or have the chance of it then tell your doctor about this.
  • Tell your healthcare provider if you are sensitive to or are allergic to any medicines, iodine, latex, tape, or anesthesia.
  • Your healthcare provider should be aware of all the medication inhaled by you.
  • Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any blood-thinning medicines (anticoagulants), aspirin, or other medicines that affect blood clotting. In some cases, it is also told for the negligence of medicine before the procedure.
  • You may get a sedative before the procedure to help you relax. If so, you will need someone to drive you home.
  • You will be scheduled to have the procedure after your period and before ovulation. Which helps your provider to get the best view of the uterus. Which helps to give a new safe pregnancy.
  • Dress in clothes that give access to the area or that are easily removed.
  • Follow any other instructions your provider gives you to get ready.

What happens after Hysteroscopy Polypectomy?

Anesthesia decides the recovery process you have. A tracking of blood pressure, pulse, breathing will be taken by your healthcare provider for taking in a stable state in the case if you are supplied by anesthesia. After becoming stable, you will be discharged to get back at your home. In more than average cases hysteroscopy is done on the outpatient basis. Otherwise, you won’t need any special care after a hysteroscopy.

You may have cramps and vaginal bleeding for a day or two after the procedure. Report fever, severe abdominal pain, or heavy vaginal bleeding or discharge.

You may have gas in the digestive tract and pains from the gas given during the procedure. This can last for about 24 hours. You may also feel pain in your upper belly and shoulder.

What is the risk of Hysteroscopy Polypectomy?

There is a potential risk of infection in the urinary tract, for which antibiotics are given before the surgery. Injury in the surrounding tissues or organs is rare, but can occur, and then further treatment will be required.

Hysteroscopy Polypectomy cost minimum for Rs. 47,000 to maximum Rs. 94,000.


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