Hysteroscopic Procedures
Incisionless, transvaginal diagnosis and surgical treatment of uterine conditions. Dr. Rajan Shah provides advanced hysteroscopy to treat polyps, fibroids, septums, and intrauterine adhesions with zero external scars and rapid recovery.
Overview
Hysteroscopy is an advanced, minimally invasive technique used to examine, diagnose, and treat conditions inside the uterine cavity. Unlike laparoscopic or open surgery, hysteroscopy is performed transvaginally meaning there are no abdominal incisions or external scars.
A thin, lighted camera called a hysteroscope is passed through the cervix directly into the uterus. This provides a direct, high-definition view of the uterine cavity on a monitor, allowing Dr. Rajan Shah to identify and correct intra-uterine structural issues in a single setting.
Key Hysteroscopic Procedures Performed:
-
Hysteroscopic Polypectomy: Precise removal of endometrial polyps causing irregular bleeding, heavy periods, or fertility issues.
-
Hysteroscopic Myomectomy: Transvaginal excision of submucosal fibroids protruding into the uterine cavity without affecting outer uterine muscle.
-
Uterine Septum Resection: Surgical correction of a congenital uterine septum (a wall dividing the uterine cavity) to prevent recurrent miscarriages and restore reproductive health.
-
Intrauterine Adhesiolysis (Asherman’s Syndrome): Delicate removal of scar tissue and adhesions within the uterine cavity to restore normal menstrual flow and fertility.
-
Removal of Retained Products of Conception (RPOC): Targeted, safe removal of persistent post-pregnancy tissue with minimal damage to the endometrium.
-
Diagnostic Hysteroscopy: Direct visual assessment of the uterine cavity during comprehensive infertility workups or evaluation of abnormal uterine bleeding.
Benefits of Hysteroscopic Surgery:
-
No Incisions or Scars: Completely transvaginal procedure leaving zero visible marks.
-
Same-Day Procedure: Performed as a day-care procedure with minimal to no hospital stay required.
-
Endometrial Preservation: High visual precision preserves healthy lining for future embryo implantation.
-
Immediate Recovery: Most patients return to regular daily routines within 24 to 48 hours.
What to Expect
-
Pre-Procedure Assessment: Transvaginal ultrasound or diagnostic evaluation to plan the precise hysteroscopic intervention.
-
The Procedure: Performed under local, regional, or short general anesthesia. The hysteroscope is introduced through the natural vaginal pathway, allowing real-time therapeutic correction.
-
Immediate Post-Op Care: Short observation period in a recovery room; patients walk comfortably and are discharged the same day.
-
Follow-up & Guidance: A routine checkup to review findings, confirm healing of the uterine cavity, and plan next steps for reproductive care.
Frequently Asked Questions
Is hysteroscopy painful?
Diagnostic hysteroscopy involves minimal discomfort similar to mild period cramps. Surgical hysteroscopic procedures are performed under short anesthesia, ensuring a completely pain-free experience during the procedure.
How does hysteroscopy help with infertility and recurrent miscarriage?
Uterine polyps, fibroids, scar tissue, or a congenital septum can block the fallopian tubes or prevent an embryo from implanting properly. Hysteroscopy clears these intra-uterine obstructions, significantly improving natural conception and IVF success rates.
Will I need to take time off work after a hysteroscopic procedure?
Most patients require only 1 to 2 days of rest and can return to work and light daily activities immediately after.
Is hysteroscopy safer than traditional dilatation and curettage (D&C)?
Yes. Traditional D&C is a blind procedure, whereas hysteroscopy provides direct, high-definition visual guidance. This ensures targeted treatment of diseased tissue while completely protecting the healthy surrounding uterine lining.
Key Benefits
- Dramatically less pain than open hysterectomy
- No large abdominal scar
- Shorter hospital stay (often just 1-2 days)
- Faster return to normal life