What is Hysteroscopic Surgery ?
Hysteroscopic surgery is a minimally invasive procedure used to diagnose and treat conditions inside the uterus. It is performed using a thin, lighted instrument called a hysteroscope, which is inserted through the vagina and cervix into the uterus. Since no external incisions are required, recovery is usually faster and less painful compared to traditional surgery.
This procedure is commonly recommended for women experiencing abnormal uterine bleeding, infertility, or recurrent pregnancy loss.
Conditions Treated with Hysteroscopic Surgery
• Uterine polyps
• Submucosal fibroids
• Uterine septum (congenital partition inside the uterus)
• Intrauterine adhesions (scar tissue)
• Retained products of conception
• Abnormal uterine bleeding
Procedure Overview
Preparation
The procedure may be scheduled after menstruation for better visualization. In some cases, medications are given beforehand to prepare the uterine lining.
During the Procedure
A hysteroscope is gently inserted into the uterus. Saline solution is used to expand the uterine cavity for clear visibility. Surgical instruments can be passed through the hysteroscope to remove or correct abnormalities.
Anesthesia
Depending on the complexity, the procedure may be done under local, regional, or general anesthesia.
Duration
Most hysteroscopic surgeries take 20–60 minutes, depending on the condition being treated.
Recovery
• Mild cramping or spotting for a few days
• Most patients return to normal activities within 1–2 days
• Follow-up visit to monitor healing
Benefits of Hysteroscopic Surgery
• No abdominal cuts or stitches
• Minimal pain and scarring
• Short hospital stay (often day-care procedure)
• Faster recovery time
• Improved fertility outcomes in selected cases
Possible Risks
Although generally safe, rare complications may include infection, bleeding, uterine perforation, or fluid imbalance. These risks are uncommon when performed by an experienced specialist.
When to Consult a Doctor
You may need hysteroscopic evaluation if you experience heavy or irregular bleeding, difficulty conceiving, repeated miscarriages, or abnormal findings on ultrasound.
Hysteroscopic surgery offers a safe, precise, and effective solution for treating various uterine conditions while preserving reproductive health and minimizing recovery time.
Frequently asked questions
It is a minimally invasive surgical technique performed through small incisions using a camera, resulting in less pain and faster recovery.
Hysteroscopy is used to diagnose and treat uterine conditions such as polyps, fibroids, adhesions, and abnormal bleeding.
Most patients recover within a few days to 1–2 weeks depending on the procedure performed.
Yes, when performed by an experienced specialist, it is a safe and effective procedure to remove cysts while preserving ovarian function.
Myomectomy is advised when fibroids cause heavy bleeding, pain, infertility, or pregnancy complications.