$Unique_ID{BRK00199} $Pretitle{} $Title{What is a "Hysteroscopy"?} $Subject{hysteroscopy surgery diagnosis Genitourinary System Special Procedures procedure uterine fiberoptics endoscope gynecologic bleeding polyps myomas endometrial cancer cancers biopsy lesion tumors endometrium hysteroscopies endoscope gynecologic disorders gynecological disorder} $Volume{J-14, P-14} $Log{ Anatomy of the Female Reproductive System*0006101.scf Hysterectomy*0008600.tid Total Hysterectomy*0008601.scf Partial Hysterectomy*0008602.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What is a "Hysteroscopy"? ------------------------------------------------------------------------------ QUESTION: What is a "hysteroscopy"? ------------------------------------------------------------------------------ ANSWER: A hysteroscopy is a new and successful method for examining the uterine cavity. The procedure involves the use of fiberoptics for a reliable, strong light source, carbon dioxide gas to distend the uterine cavity for complete internal visibility, and an endoscope (telescope-like instrument) with a 5 mm diameter which allows the physician a wide-angle view of the entire cavity. Hysteroscopy is valuable for both the diagnosis and management of many gynecologic disorders. It is commonly used to search for causes of abnormal uterine bleeding, but it can also confirm conditions such as polyps, myomas, and endometrial cancer. Because of its diverse application, the hysteroscopy can also be used to obtain a biopsy of a suspicious lesion or to remove intrauterine tumors. As a diagnostic tool, the hysteroscope is useful for many reasons. It can be used in the physician's office with minimal inconvenience and discomfort for the patient, and the procedure, which frequently takes less than five minutes, has few risks and a low complication rate. In addition, no special preparations or medications are required for the examination. However, when the hysteroscope is used for an operation, it is usually performed in an ambulatory surgical center and some anesthesia is required. Despite its high success rate and low risk factor, hysteroscopy utilizes techniques that require training and experience. The endometrium is easily injured and there is always the possibility of introducing infection into the uterine cavity, especially with a gaseous media. It is therefore necessary for a physician to master the techniques before attempting its use. However, with today's knowledge, training can be readily and accurately acquired. The gas pressure and flow can be successfully regulated, which was initially one of the more serious complications, and careful manipulation of the instrument can be easily learned with practice. With these problems solved, hysteroscopy promises to be a major means for gynecological diagnosis and therapy. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.