What is hysteroscopic surgery and how is it performed?

Hysteroscopic surgery is a form of incisionless surgery performed on the inside of the uterus, where the surgeon passes a camera (called hysteroscope) through the cervix into the uterus so they can visualize and operate on any abnormal growths within the uterine cavity.

This is an outpatient procedure, but can sometimes be completed in the office for very simple issues. When done as an outpatient procedure, patients typically undergo conscious sedation wherein they are asleep and comfortable. The surgeon uses fluid to open the uterine cavity so they can visualize the inside of the uterus. The same camera has instruments that can be passed through and used to remove any growths.

What are the gynecologic conditions treated with hysteroscopic surgery and who is a candidate?

Not everyone is a candidate for hysteroscopic surgery, so check with your gynecologist if this is the right procedure for you.

Hysteroscopic surgery can be used to treat several conditions including:

• Submucosal fibroids (fibroids in the inside cavity of the uterus)
• Endometrial polyps (growth of tissue from the inside lining of the uterus)
• Uterine synechiae (scar tissue inside the cavity of the uterus)
• Uterine septum (small band in the uterus)
• Retained IUDs
• Heavy menstrual bleeding (endometrial ablation)

What is the typical recovery for hysteroscopic surgery?

Patients who undergo hysteroscopic surgery go home the same day shortly after their procedure. Recovery from the procedure is quick since there are no incisions. Most patients notice that they have some light bleeding and cramping for a few days after the procedure, and almost never require narcotics for pain control.