Imaging techniques: Hysteroscopy

Hysteroscopy

Hysteroscopy is a procedure that allows the visualisation of the interior of the uterus (the cervical canal and the uterine cavity), in order to diagnose and treat any uterine disorders detected.

A hysteroscope is used: this is an instrument rather like a narrow telescope that can be introduced into the uterus via the vagina, with minimal tissue damage. Hysteroscopy with mini forceps.

histeroscopio

Hysteroscope

Diagnostic hysteroscopy is a safe, simple procedure that is performed in our surgery, and it is generally well-tolerated, involving very few risks or complications.

Its primary function is to determine the cause of uterine bleeding through direct examination, and possibly the taking of tissue samples (biopsies).

For this reason it is often advised in the case of reproductive problems, for example:

  • Where uterine alterations are suspected after an ultrasound test, or after other imaging techniques have been carried out: it confirms any uterine malformation, the presence and type of myomas, polyps or adherences.

utero-subsepto

Subseptate or tabicated uterus
adherencia-intrauterina

Uterine adherence and polyp.

  • It can be useful in terms of detecting subtle changes not previously observed (for example chronic endometriosis) even where imaging techniques have shown no abnormalities, where the cause of sterility is unknown, or in the case of failed IVF implantation.

endometritis-cronica

Suspected chronic endometriosis
endometritis-cronica2

Suspected chronic endometriosis

  • Recommended for assessing the cavity after uterine surgery for myomas, adenomyosis… or after puerperal curettage.

  • It makes cervical canalisation possible in cases where there is difficulty in accessing the cavity prior to embryo transfer or intrauterine insemination.

Surgical hysteroscopy is a minimally invasive procedure performed in the outpatient departmentIn most cases some type of anaesthetic is required, so it needs to be carried out where the necessary facilities are available.

Surgical hysteroscopy is a minimally invasive procedure performed in the outpatient departmentIn most cases some type of anaesthetic is required, so it needs to be carried out where the necessary facilities are available.

It allows abnormalities in the uterine cavity to be dealt with. Such as: the correction of uterine malformations (septate and subseptate uterus), the removal of adherences, the extraction of a retained IUD, the removal of polyps, myomas…

reseccio-histeroscopica

Hysteroscopic resection of submucosal myoma (myoma in the uterine cavity)
seccio-adherenica

Adherence resection
seccio-septo

Uterine septum resection
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