Diagnostic Hysteroscopy ± Endometrial Biopsy

Indication

   Abnormal uterine bleeding

   Failed hormonal treatment

   Failed endometrial aspiration

   Abnormal ultrasound finding

The Procedure

   Regional / general anaesthesia

   Telescope passed through the vagina and cervix into the uterus

   Cervical dilatation may be required

   Uterine cavity inspected

   Biopsy or curettage of the endometrial lining may be performed

   Tissues removed will be sent for pathological examination or disposed of as appropriate unless otherwise specified

   Other associated procedures which may be necessary, such as: Dilatation of the cervix and Polypectomy with or without hysteroscopic assistance

Photographic and / or video images may be recorded during the operation for education / research / documentation purpose. Please inform the staff if you have any objection.

Risk and Complication

   Anaesthetic complications

   Cervical tear

   Perforation of the uterus (up to 1% chance) with or without trauma to the surrounding organs, may require repair

   Pelvic infection

   Small lesions can still be missed despite a normal hysteroscopic finding

Risk of Not Having the Procedure

   Definitive diagnosis cannot be made and appropriate treatment cannot be given.

After the Procedure

   This is only a diagnostic procedure and there is no therapeutic value. Second operation may be needed.

Alternative Treatment

   Observation

   Pelvic ultrasonography

   Endometrial aspiration

Follow Up

   No special follow up

Remarks

The information contained is very general. The list of complications is not exhaustive and other unforeseen complications may occasionally occur. In special patient groups, the actual risk may be different. For further information, please contact your doctor.