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Hysteroscopy diagram
Gynaecology

> Cervical Screening
> Colposcopy
> After Colposcopy
> Loop Diathermy
> Testing for HPV
> Laparoscopy
> Hysteroscopy
> Hysterectomy
> Myomyectomy
> Endometriosis
> Polycystic Ovaries
> Menorrhagia
Hysteroscopy
A Hysteroscopy is a procedure that allows your gynaecologist to look inside the uterus (womb) using a small telescope (hysteroscope).

Hysteroscopy may be used to investigate the following:

> A cause for abnormal bleeding
or heavy periods
> Bleeding after the menopause
> Fibroids
> Polyps
> Endometrial Cancer
> Abnormally shaped womb

Hysterectomy
A hysterectomy is an operation to remove the uterus (womb). It is usually performed either for heavy, painful periods, for prolapse, or for cancer treatment.

A hysterectomy is usually considered as a last resort after other treatments have failed, except in the case of cancer. For many problems, a "sub-total" hysterectomy is adequate - the body of the uterus is removed, leaving behind the tubes, ovaries and cervix. A total hysterectomy involves removing the uterus and cervix.

The tubes and ovaries are usually only removed if there is a problem with the ovaries.
How is it done?

A hysterectomy is usually performed under general anaesthetic. In some cases, the uterus may be removed vaginally, so there is no cut in the tummy.

If there are large fibroids, it is usually performed through a cut in the abdomen, which is usually below the bikini line. Sometimes the uterus may be removed laparoscopically ("key-hole surgery"), involving small cuts in the tummy.

Are there any complications?

All operations and anaesthetics carry some risks. You may bleed during the operation, and occasionally a blood transfusion is required. If you have a cut in the abdomen, you may experience pain from the wound for some days, and usually stay in hospital for 4-5 days. If you have key-hole surgery or a vaginal hysterectomy, you will usually go home within 48 hours.

Infections may occur. Chest infections and deep vein thrombosis are rare complications.

The Consulting Suite
The Portland Hospital
212 Great Portland Street
London W1W 5QN

Tel
020 7390 8079
Fax 020 7390 8478
Gynaecology@womenandbabies.co.uk
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