Hysteroscopy uterine polyp removal: indications and contraindications
When the area of the mucous membrane of the genitals in women growing, can form a polyp. It is a neoplasm with a benign nature, but there are likely to be reborn in the malignant process. For a long period of time, polyps may not manifest itself, so the woman might not guess the presence.
For removal of a polyp used a modern method, such as hysteroscopy of the uterus. The procedure is diagnostic and treatment, because allows not only to remove the tumor, to determine the inside state of the body, but also to explore the tissue from a polyp to a malignant process. Thanks hysteroscopic removal of endometrial polyp in reproductive organs is done with minimal impact, but the pathology is characterized by possibility of recurrence, since the operation is able to remove only the tumor and not the factor that caused the emergence of. How to do a hysteroscopy of the uterus? What are the indications and contraindications for? On what day of cycle? Can there be complications after surgery?
What is the procedure?
Minimally invasive procedure hysteroscopy of the uterus in Greek language means «to examine the uterus». There are two main types: diagnostic and operative.
During diagnostic hysteroscopy the doctor, using the hysteroscope (a special optical device), inspecting the walls of the cervix and reproductive organs, as well as the beginning of the fallopian tubes. The procedure can take 5-20 minutes, with local anesthesia or do not apply. This allows you to diagnose the cause of infertility, or why a woman can not bear children, and that causes bleeding, to clarify the diagnosis if there is suspicion of various pathologies of the uterus.
Hysteroscopy of the uterus, the operational type is performed under General anesthesia. The procedure involves not only the inspection, but surgical intervention to remove the polyp, cysts, fibroids, adhesions, cervical canal. Is assigned in cases where pathology is diagnosed.
Initially endometrial polyps pose no threat, when they start to increase, may develop into a malignant process or cause infertility. Also in case of large polyps can cause bleeding unrelated to my period (any day of the cycle), lower abdominal pain, pain during sex. That is why it is so important to remove polyps. Hysteroscopy is today the best method.
The procedure is performed by the introduction into the cavity of the genitals tube with a video camera, removal of polyp is performed, the special endoscopic tools.
Hysteroscopy uterine diagnostic nature carried out in the case of suspected endometriosis, fibroids, abnormalities of the genitals and cervix, in case of impossibility to become pregnant and is not bearing fruit. In addition, the diagnostic hysteroscopy is performed after treatment hormonotherapy drugs bleeding not related to menstruation (at any day of menstrual cycle), and heavy menstruation.
Surgery is indicated for polyps as multiple, and single, fibroids (submucosal Il submucous), metrorrhagia a day cycle, not related to menstruation, endometrial thickening, commissural process or fusion of the walls of the uterus, extraction of IUDs.
Are there any contraindications to?
Hysteroscopy of the uterus could not be conducted in such cases:
- stenosis of the cervix;
- the presence of inflammatory process in the genital organs;
- monthly uterine bleeding and strong character (no matter which day of the cycle);
- pathological changes of liver, heart, kidneys, severe;
- infectious diseases of acute nature;
- cervical cancer (last stage).
Preparation for hysteroscopy
Surgery to remove endometrial polyps is conducted a few days after the menses. So you need to know the start day of the menstrual cycle.
The doctor performs a preliminary examination using a pelvic speculum. Takes a smear from the vagina to detect the presence of infections. Such a study will help to determine whether there are contraindications to hysteroscopy.
Preparation necessarily involves carrying out ultrasonic examination which allows to determine the localization of the polyps and to exclude a possible pregnancy.
In addition, require other diagnostic methods.
- analysis of urine and blood;
- cytological smear from the cervix of the genitals;
- the blood for hepatitis, syphilis, HIV;
- the study of blood clotting;
- samples for bilirubin, glucose;
- examination by an anesthesiologist.
You need to discuss with the doctor what day of cycle to be operated on. To prepare for surgery need throughout the week, not to douche, use vaginal tablets and money. To exclude sex for 5 days prior to surgery.
The day before the scheduled date of surgery do not eat, it is permissible to drink herbal tea and water. It is important to eat foods that can cause gas. The night before surgery enema requires.
The day is not at all.
How is the removal of an endometrial polyp?
It should be noted that diagnostic hysteroscopy does not require any training. It is held during a reception at gynecologist (daily cycle, not monthly). Surgical hysteroscopy is performed under General anesthesia in gynecological chair. 2 hours before the operation the patient is given a sedative (administered intramuscularly). Anesthesia is administered intravenously and once it kicks in, starts surgery.
Through the cervical canal of the genitals, which extends the introduced gas or special fluid to stretch the walls and reveal the uterus. Then you enter hysteroresectoscopy, so the doctor would see the body wall, mouth of the tubes and the cervical canal. Removal of polyps is made by a clamp or surgical scissors. The liquid excreted from the body, and ends the operation.
Period after surgery
2-3 days after the procedure you may have pain in the lower abdomen and slight bleeding. Such symptoms are considered normal and are themselves. There is a restoration of the menstrual cycle. If the pain is severe, pain medications are assigned.
Also for several days after surgery, appointed spazmolitiki to muscle genitals and the cervix relaxed, and accumulate in the blood.
If the cause of the occurrence of an endometrial polyp is inflammation, after removal of the tumors prescribe medicines anti-inflammatory action. If the cause is a faulty hormonal levels are assigned gormonoterapii drugs.
To avoid possible complications after surgery for removal of an endometrial polyp, for some time it is better to avoid sexual contacts, visiting the baths and saunas, the hot tubs, not to lift weights, do not douche and do not use tampons, do not take blood thinners.
Removal of endometrial polyps by hysteroscopy and preventive action against the development of malignancy, which gives a woman the opportunity not only to conceive, but also to successfully carry and give birth to a healthy baby.