Operative hysteroscopy · Marrakech
When an abnormality of the uterine cavity is found, it can often be treated at the same time, without opening the abdomen. In Marrakech, Dr Oussama Rachid, an obstetrician-gynaecologist, sets the indication at consultation, explains the procedure, its benefits, risks and the alternatives, and performs it in the operating theatre. This page is informational and does not replace a consultation.
It is a hysteroscopy during which fine instruments are passed through the channel of the hysteroscope to treat a lesion of the uterine cavity. The whole procedure takes place through the natural route, without an incision on the abdomen.
Depending on their type and size, operative hysteroscopy allows:
The detail of the procedure suited to your case is set out at consultation.
This technique is most often offered for heavy periods or bleeding between periods due to a polyp or fibroid, for difficulty conceiving or repeated miscarriages linked to an abnormality of the cavity, or after an abnormality seen on ultrasound or at a diagnostic hysteroscopy.
A consultation lets the procedure be explained and your written agreement obtained. An anaesthesia consultation is needed. The doctor goes through your treatments (especially blood thinners), allergies and history, orders the useful tests and gives fasting instructions. Plan to be accompanied on the way home and to free up time for recovery.
The procedure is performed in the operating theatre, under anaesthesia suited to the indication. It generally lasts from a few tens of minutes to a little over an hour depending on the procedure. You are monitored until you wake up, then go home the same day or the next depending on your condition. Removed material is most often sent for analysis.
Cramps and light bleeding are common for a few days. A simple painkiller is most often enough. Instructions (baths, intercourse, tampons, return to work) are given to you in writing.
Consult without delay for fever, increasing pain, heavy bleeding or foul-smelling discharge. A check-up is planned to confirm healing and explain the analysis result.
Like any procedure, operative hysteroscopy carries rare risks: infection, bleeding, perforation of the uterine wall, a complication linked to the fluid used or to anaesthesia, adhesions after the procedure. The doctor details them. Depending on the lesion, simple monitoring or medical treatment may be an alternative: it is presented to you.
No procedure is offered without a clear indication, and a second opinion is gladly accepted.
The procedures and examinations linked to this care. Each is offered after a consultation, according to your situation.
Operative hysteroscopy
Treating a polyp, a fibroid in the cavity, a septum or adhesions without an incision.
No, the procedure is done through the natural route, without an incision on the abdomen.
From a few tens of minutes to a little over an hour depending on the procedure.
Yes, in most cases. The doctor tells you the advised delay before resuming plans for pregnancy.
Often after a few days, depending on the procedure and your condition. The doctor gives precise instructions.
Informational content: it does not replace a consultation. No outcome can be guaranteed.
