Hysteroscopy, Curette, Polypectomy

A Hysteroscopy is a procedure used to look at the inside of the uterus to identify  abnormalities such as endometrial polyps, fibroids, or adhesions. Often a biopsy of the lining of the womb is taken (generally known as a curette) and sent to the pathologists for histological examination.

Hysteroscopies are often performed in women:

  • With subfertility to check for any anatomical abnormalities that might be delaying conception
  • Older with heavy menstrual bleeding
  • Women with postmenopausal bleeding

The procedure is generally performed under a quick general anaesthetic. There are no cuts or stitches required.

Curette Procedure

A dilation and curettage procedure, also called a D&C, is a surgical procedure in which the cervix is dilated so that the uterine lining can be scraped with a curette (spoon-shaped instrument) to remove abnormal tissues.

A D&C may be used as a diagnostic or therapeutic procedure for abnormal bleeding. A D&C may be performed to determine the cause of abnormal or excessive uterine bleeding, to detect cancer, or as part of infertility investigation.

Polypectomy

A polypectomy is the surgical removal of a polyp.

Colon polyps can be removed through an open abdominal surgery, but more commonly it is performed during a colonoscopy. The endoscopist may snip off a small polyp with a forceps or remove a larger polyp with a snare that burns through the base of the polyp.