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Hysteroscopy
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Hysteroscopy means passing a hysteroscope, a rigid or flexible tube with a camera, through the cervical canal, that is, through the passage in the neck of the uterus, and into the cavity itself. The cavity is then distended with a distension medium to push the walls apart and get a full view of the endometrial cavity, the space inside the uterus.
That allows something uncommon: diagnosing and also treating whatever is inside the uterus or the cervix, in a minimally invasive way. That is why it is considered the gold standard for intrauterine disease. It is a camera that goes in through a door that already exists, with no cut in the belly.
It is indicated for several problems: abnormal uterine bleeding, infertility, removal of foreign bodies inside the uterus, and congenital Müllerian anomalies, which are malformations of the uterus present from birth. The preferred approach is vaginoscopy, because it reduces pain during the procedure and afterward.
In brief
Hysteroscopy passes a rigid or flexible hysteroscope through the cervical canal into the uterus and distends the cavity to see all of it.
That direct view allows minimally invasive diagnosis and treatment of intrauterine disease, and it is considered the gold standard.
A camera that goes in through a door that already exists, with no cut to the belly.
It is indicated for abnormal uterine bleeding, infertility, foreign bodies and congenital Müllerian anomalies; vaginoscopy is the preferred approach because it hurts less.
Sources (1)
- National Center for Biotechnology Information, StatPearls PublishingHysteroscopy, StatPearlsPublished
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