Hysteroscopic Excision of Fibroids/Polyps

Hysteroscopic Excision of Fibroids / Polyps

Indication

Abnormal uterine bleeding;
Ultrasound scan showed suspected submucosal fibroid distorting uterine cavity;
Ultrasound scan showed suspected endometrial polyp.

The Procedure

General anaesthesia / regional anaesthesia;
Dilatation of cervix;
Passage of resectoscope;
Glycine / normal saline to distend the uterine cavity;
Resection of the pathology under direct vision;
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: Blood transfusion.

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;
Bleeding, may need blood transfusion;
Pelvic infection;
Cervical tear;
Perforation of uterus with or without damage to adjacent organs and may need laparotomy and repair;
Fluid overload;
Excision may be incomplete and further operation may be required;
Recurrence.

Risk of Not Having the Procedure

Progression and deterioration of disease condition;
Diagnosis cannot be ascertained.

After the Procedure

May have some vaginal bleeding in the first 2 weeks after the operation.

Alternative Treatment

Hysterectomy

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.

Hysteroscopic Excision of Fibroids/Polyps