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.
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.
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.