$Unique_ID{BRK00199}
$Pretitle{
Genitourinary System
Special Procedures and Laboratory Tests}
$Title{What is a "Hysteroscopy"?}
$Subject{hysteroscopy surgery diagnosis}
$Volume{J-14, P-14}
$Log{
The Female Reproductive System*0006101.scf}

Copyright (c) 1991   Tribune Media Services, Inc.


What is a "Hysteroscopy"?


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QUESTION:  What is a "hysteroscopy"?

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ANSWER:  A hysteroscopy is a new and successful method for examining the
uterine cavity.  The procedure involves the use of fiber-optics for a
reliable, strong light source, carbon dioxide gas to distend the uterine
cavity for complete internal visibility, and an endoscope (telescope-like
instrument) with a 5 mm diameter which allows the physician a wide-angle view
of the entire cavity.
     Hysteroscopy is valuable for both the diagnosis and management of many
gynecologic disorders.  It is commonly used to search for causes of abnormal
uterine bleeding, but it can also confirm conditions such as polyps, myomas,
and endometrial cancer.  Because of its diverse application, the hysteroscopy
can also be used to obtain a biopsy of a suspicious lesion or to remove
intrauterine tumors.
     As a diagnostic tool, the hysteroscope is useful for many reasons.  It
can be used in the physician's office with minimal inconvenience and
discomfort for the patient, and the procedure, which frequently takes less
than five minutes, has few risks and a low complication rate.  In addition, no
special preparations or medications are required for the examination.
However, when the hysteroscope is used for an operation, it is usually
performed in an ambulatory surgical center and some anesthesia is required.
     Despite its high success rate and low risk factor, hysteroscopy utilizes
techniques that require training and experience.  The endometrium is easily
injured and there is always the possibility of introducing infection into the
uterine cavity, especially with a gaseous media.  It is therefore necessary
for a physician to master the techniques before attempting its use.  However,
with today's knowledge, training can be readily and accurately acquired.  The
gas pressure and flow can be successfully regulated, which was initially one
of the more serious complications, and careful manipulation of the instrument
can be easily learned with practice.  With these problems solved, hysteroscopy
promises to be a major means for gynecological diagnosis and therapy.
ÿ
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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
