Hysteroscopic surgery for removal of uterine cavity polyps (polypectomy, excision or fractional uterine abrasion)

Hysteroscopic Removal of Endometrial Polyps (Polypectomy, Excision, or Fractional Curettage)

This is a diagnostic and treatment procedure used to examine and assess abnormalities within the uterine cavity and to perform surgical interventions when necessary. The main advantage of hysteroscopy is that all procedures are performed under direct visual control. Interventions such as endometrial curettage or biopsy are not carried out blindly, making the diagnosis of uterine cavity disorders highly reliable. In addition, no abdominal incisions are required, postoperative pain is minimal, and there is no risk of wound infection.

The optimal time to perform hysteroscopy is shortly after menstruation, when the uterine lining is at its thinnest. This allows the gynecologist to detect and diagnose even minor abnormalities within the uterine cavity.

About the Procedure:

A hysteroscope is inserted through the cervix into the uterus. The hysteroscope provides a clear view of the uterine cavity on a monitor, allowing the physician to identify abnormalities and remove them using specialized instruments.

Who Is This Procedure Suitable For?

Hysteroscopy may be performed for:

• Endometrial polyps or uterine fibroids;
• Endometrial hyperplasia (thickening of the uterine lining);
• Heavy, prolonged, or irregular uterine bleeding;
• Recurrent miscarriages;
• Infertility;
• Other gynecological indications.

Before the Procedure:

Our team of physicians will perform the necessary examinations and assess the patient's overall health condition.

Please follow your doctor's instructions carefully before the procedure to ensure the best possible outcome.

During the Procedure:

Hysteroscopy is usually performed under general anesthesia. During the procedure, the gynecologist inserts a thin hysteroscope, a telescope-like instrument, through the cervix into the uterus. This enables visualization of the cervical canal, the entire uterine cavity, and any abnormalities present, including:

• Thickened endometrium;
• Endometrial polyps;
• Uterine fibroids;
• Uterine septa;
• Intrauterine adhesions resulting from previous procedures.

The physician can also assess the openings of the fallopian tubes and evaluate the shape of the uterus.

If abnormalities such as polyps or fibroids are identified, they can be removed using specialized surgical instruments. Uterine septa and adhesions may also be treated during the same procedure. If there are concerns regarding the condition of the endometrium, tissue samples may be taken from suspicious areas for histological examination, or endometrial curettage may be performed.

The procedure typically takes approximately one hour.

After the Procedure

Following surgery, the patient may be monitored in the intensive care or recovery unit, depending on her clinical condition. If the postoperative course is uncomplicated, discharge is usually possible on the same day. Please arrange for a responsible adult to accompany you home and provide assistance during the first 24 hours after surgery. Most women are able to return to work the next day or within one to two days following hysteroscopy, depending on the extent of the procedure. You may eat, drink, and shower on the same day after the operation. After the procedure, you may experience mild lower abdominal discomfort similar to menstrual cramps. Medication may be prescribed to relieve these symptoms. Light blood-stained or watery vaginal discharge may occur for several days or even a few weeks.

To reduce the risk of infection, it is recommended that for one to two weeks after surgery you:

• Do not use tampons;
• Avoid swimming pools, lakes, and similar bodies of water;
• Refrain from sexual intercourse;
• Avoid intense physical exercise.

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

Kaunas: ligonine.savanoriu423@meliva.lt

Vilnius: ligonine.laisves64@meliva.lt