Histeroscopia Quirúrgica en España

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What is a Hysteroscopy?

Surgical hysteroscopy is a minimally invasive surgical procedure that allows treating pathologies of the uterine cavity that cause infertility or symptoms such as heavy uterine bleeding or bleeding outside the menstrual cycle.

How is a hysteroscopy performed?

Hysteroscopy is performed by introducing a delicate small 3 mm camera through the uterine cervix.
The goal is to get a view of the uterine cavity (diagnostic hysteroscopy) and/or treat some endometrial conditions (surgical hysteroscopy).
The surgeon works while looking at the images of the uterine cavity on an external screen.

 

What are the different types of hysteroscopy?

Diagnostic hysteroscopy: It is performed to get a view of the uterine cavity and, if necessary, take a biopsy.
Surgical Hysteroscopy: It is performed to treat conditions of the endometrial cavity or the uterus such as the removal of polyps, myomas, uterine septums, etc.

Histeroscópia en Cuello Uterino

Request an appointment with the specialist in Hysteroscopy in Valencia Spain, Doctor Lucas Minig.

Book an appointment online to perform the hysteroscopy treatment in Valencia, if you are a foreign resident (outside of Spain) you can contact the expert in Hysteroscopy, Doctor Gynecologist Oncologist Lucas Minig through the following link:
Online Consultation.

What are the indications for hysteroscopy?

1- Indications for Diagnostic Hysteroscopy:

Abnormal uterine bleeding that does not respond to pharmacologic treatment

Postmenopausal genital bleeding

Study of the endometrial cavity because of infertility

Intrauterine device (IUD) retention

2- Indications for surgical Hysteroscopy

Endometrial polyp removal

Removal of submucosal myoma

Resection of uterine septum or synechia

Resection of a localized malignant tumor

What is a hysteroscopic polypectomy?

An endometrial polyp is an endometrial tissue growth that protrudes into the uterine cavity. They often have a small implantation base from where the polyp grows that can vary in size from a few millimeters up to 2-3 cm.
Most endometrial polyps do not cause symptoms. However, in some cases, endometrial polyps can cause genital bleeding between menstrual periods.

Polipectomía por Histeroscópia Quirúrgica

When is an endometrial polyp removed?

• When it is larger than 1 cm
• When symptomatic
• When diagnosed in women after menopause

Cavidad Uterina con Pólipos Endometrio

Are endometrial polyps dangerous?

Endometrial polyps are usually benign in the majority of cases. However, if they grow rapidly, if they cause genital bleeding, or if they are diagnosed after menopause, they must be removed and analyzed to rule out a malignant polyp (or endometrial cancer).

Where is a hysteroscopy performed in Spain?

Diagnostic hysteroscopy does not require hospital admission and it is performed in an outpatient procedure room.
Surgical hysteroscopy requires general anesthesia because the uterine cervix must be dilated partially to introduce a 5 mm camera.
It is performed in the hospital, (consult with the Specialist Lucas Minig in Valencia) but hospital admission is not necessary, meaning the patient can go back home passed some hours after waking up and recovering fully from the anesthesia

If no complications emerge (which are absolutely rare), passed 2-3 hours after the hysteroscopy, patients are discharged keeping telephonic follow-up with Dr. Lucas Minig in case there is any eventuality.

How long does a hysteroscopy take?

Diagnostic hysteroscopy usually takes between 10-15 minutes

On the other hand, the duration of a surgical hysteroscopy varies depending on the complexity of the procedure. Typically, it lasts between 20-30 minutes.

Removal of a polyp is usually the quickest procedure, while removal of a large fibroid or repair of a uterine malformation are usually the longest procedures.

Now that you know how long surgical hysteroscopy lasts, it is time to learn about other related issues.

 

→ It may interest you: What is endometriosis?

Is a hysteroscopy painful?

Hysteroscopy pain, does hysteroscopy hurt?, does hysteroscopy require anesthesia?, does diagnostic hysteroscopy hurt?
In response to the frequently asked questions from our patients, hysteroscopy is a well-tolerated test in the great majority of patients. The discomfort that patients often report after the intervention is similar to the one elicited by menstruation.
In any case, they can take analgesics or anxiolytics (ibuprofen, lexatin, valium) 1 or 2 hours before the test.

What are the risks of hysteroscopy?

The risks of hysteroscopy or its complications are very low, around 0,2%. Despite being rare, the possible complications of the hysteroscopy procedure include the following;

Genital infection

Vaso-vagal response (fainting)

Acute pain

Uterine perforation

What discomforts can a hysteroscopy or the removal of an endometrial polyp cause?

Las molestias más frecuentes son:

Pelvic pain, similar to menstruation. It can last between 24 – 48 hours and with usual oral painkillers, patients can go about their daily lives the day after the procedure.

Vaginal bleeding, which will decrease over the days, usually disappears after 7-10 days.

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What are the recommendations after undergoing hysteroscopy?

Once the procedure is over, resting is adviced. During hysteroscopy recovery we recommend

  • Relative rest at home is often indicated during the 12 hours following the intervention.
  • Do not reassume sexual intercourse until 15 days have passed.

Recovery and care after surgical hysteroscopy

Surgical hysteroscopy is a minimally invasive procedure, of short duration and without incisions. Therefore, recovery is very fast where women can return to their usual activity in a short period of time.

Patients go to an anesthetic recovery room after the procedure. There, 60 minutes after surgical hysteroscopy, fluids are offered to confirm adequate oral tolerance and rule out the presence of nausea and vomiting after anesthesia.

If the patient feels comfortable, and has not had nausea or vomiting, she can return home accompanied by a family member or close friends 2-3 hours after the procedure.

Advice after hysteroscopy

If you experience any of the following symptoms after the surgery, it is a reason to visit the Emergency Room:

  • Fever higher than 38ºC (100.4 F)
  • Refractory pain despite analgesics
  • Increasing vaginal bleeding.

If you present any of these symptoms, please consult with the Doctor expert in Hysteroscopy in Valencia, Spain, we can get in touch with patients all over the world.

What type of anesthesia is used for a surgical hysteroscopy?

Surgical hysteroscopy is performed under general anesthesia. This is usually deep sedation rather than the intubation typical of longer, more invasive surgical procedures.

How many days of rest are needed for a surgical hysteroscopy?

Once at home, the patient can gradually resume her daily activity as much as the discomfort allows. Usually, 24 hours after surgical hysteroscopy, patients lead their lives completely normally.

For this reason, after surgical hysteroscopy rest is not necessary. The only specific restriction that exists in this regard is to have sexual abstinence during the following 15 days after surgical hysteroscopy.

→ You are interested in: Postoperative care after surgery

What complications can occur after surgical hysteroscopy?

Surgical hysteroscopy is a procedure that has a very low possibility of complications, both during the surgery itself and after it.

In some circumstances, however, operative hysteroscopy may present minor postoperative genital bleeding that usually subsides over the next 3 to 5 days.

Pelvic pain can occur within 24 hours and is usually mild; that oral analgesics are usually enough to relieve it.

Do you need to schedule a Hysteroscopy with a specialist?

Contact us, in Valencia, Spain we have a medical team expert in surgical hysteroscopy treatment

Hysteroscopy in Valencia – Madrid – Barcelona and the rest of Spain. If you live outside of Spain, you can schedule a consultation with a specialist through our online medical consultation.

«Surgical Hysteroscopy can be done on an outpatient basis if the lesion to be resected is especially small, with little risk of complications.».

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