Fractional uterine abrasion

Fractional uterine curettage is a treatment procedure in which the lining of the uterus (endometrium) is removed using specialized surgical instruments. The procedure is most commonly performed in cases of persistent uterine bleeding caused by endometrial pathology, helping to protect women from excessive blood loss that may pose a serious risk to their health and, in some cases, their lives. Curettage is also performed when pregnancy tissue remains in the uterus following an incomplete miscarriage or a missed miscarriage. In addition, the procedure may be carried out to stop postpartum uterine bleeding and to obtain tissue samples from the uterus and/or cervix for histological examination. Histological analysis helps determine the exact nature of any abnormalities and enables appropriate treatment to be prescribed.

When abnormalities of the endometrium and/or cervix are identified through imaging methods such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), or other diagnostic tests, or when a patient experiences uterine bleeding of unknown origin, it is necessary to obtain a tissue sample for histological examination. Microscopic evaluation of tissue changes and histological findings allows specialists to determine the most appropriate course of further treatment. Abnormal uterine bleeding may be a symptom of an underlying malignancy which, if not diagnosed and treated promptly, may progress. Failure to surgically remove tissue from a non-viable pregnancy may result in coagulation disorders that can endanger health and life, as well as infections that may negatively affect future fertility. In certain cases of non-viable pregnancy, such as a molar pregnancy, retained pregnancy tissue may give rise to malignant disease; therefore, removal of the tissue and histological examination are essential.

About the Procedure:

During the operation, the cervix is gently dilated using specialized instruments. Abnormal endometrial tissue or other retained tissue is removed, and tissue samples are collected for histological examination.

Who Is This Procedure Suitable For?

The necessity of the procedure and the most appropriate treatment approach are determined individually for each patient in consultation with the operating physician.

Before the Procedure:

Our team of physicians will perform the necessary examinations and assess your overall health condition.

Before surgery, please follow your doctor's instructions carefully to ensure the best possible outcome.

During the Procedure

The procedure is usually performed under general anesthesia.

During surgery, the cervix is dilated, and specialized instruments are used to remove tissue and/or the lining of the uterus and/or cervix. Bleeding is controlled, and tissue samples are collected for histological examination.

The uterine cavity is carefully assessed during the procedure, including the condition of the cavity walls, any protrusions or lesions, the uterine cornua, and any structural abnormalities of the uterine cavity.

The procedure typically takes approximately one hour.

After the Procedure

Depending on their clinical condition, patients may be monitored in the intensive care unit following surgery. If the postoperative recovery is uncomplicated, patients are usually discharged home on the same day or the following day.

Light vaginal bleeding or spotting may occur for several days after the procedure. Therefore, the use of sanitary pads is recommended, and pads should be changed regularly. The use of vaginal tampons is not recommended.

To reduce the risk of infection, it is advised to avoid sexual intercourse for 2 to 3 weeks. After resuming sexual activity, the use of condoms is recommended for approximately one month.

For a few days after the procedure, you may experience mild lower abdominal discomfort or cramping. These symptoms can usually be relieved with standard pain medication, which will be recommended by your healthcare provider.

If you experience unusual vaginal discharge, increasing pain, fever, or any other concerning symptoms, please contact your family doctor or healthcare provider.

Before discharge, your doctor will provide instructions regarding your further treatment and recovery.

Registration for Surgery

If you would like to schedule this procedure, please contact us at: