Operative Hysteroscopy
Advanced minimally invasive procedure to treat uterine conditions and enhance fertility
What is Operative Hysteroscopy?
Operative hysteroscopy is a minimally invasive surgical procedure that uses a hysteroscope (a thin, lighted telescope) to not only diagnose but also treat conditions inside the uterus.
Unlike diagnostic hysteroscopy which only visualizes the uterine cavity, operative hysteroscopy uses specialized instruments passed through the hysteroscope to surgically correct identified abnormalities in real-time.
At Triman IVF, our surgeons are highly skilled in advanced hysteroscopic techniques, providing precise treatment with minimal recovery time and maximum effectiveness.
Common Conditions Treated
- Uterine polyps
- Submucosal fibroids
- Uterine septum
- Intrauterine adhesions (Asherman's syndrome)
- Retained products of conception
- Endometrial ablation for abnormal bleeding
The Procedure
1
Pre-Surgery Preparation
Before your procedure, you’ll undergo a thorough evaluation including blood tests and imaging studies. Our team will review your medical history and explain the procedure in detail. The surgery is typically scheduled after your menstrual period when the uterine lining is thinnest.
2
Anesthesia
Operative hysteroscopy is typically performed under general anesthesia or regional anesthesia (spinal or epidural), ensuring you’re comfortable throughout the procedure. For simpler cases, local anesthesia with sedation may be sufficient.
3
The Surgical Procedure
The surgeon gently dilates the cervix and inserts the hysteroscope into the uterine cavity. A special fluid is used to expand the cavity for better visualization. Using specialized instruments inserted through the hysteroscope, the surgeon performs the necessary procedures such as removing polyps, resecting fibroids, dividing a septum, or breaking up adhesions. The procedure typically takes 30-60 minutes depending on complexity.
4
Recovery
After the procedure, you’ll spend a short time in the recovery area before going home the same day. You may experience mild cramping and light bleeding for a few days. Most patients can return to normal activities within 2-3 days, though we recommend avoiding strenuous exercise for about a week and abstaining from intercourse for 7-10 days.
5
Follow-up
We’ll schedule a follow-up appointment 1-2 weeks after your procedure to evaluate healing and discuss the pathology results if tissue samples were taken. For fertility patients, we’ll outline the next steps in your treatment plan, including when you can begin attempting conception or proceed with fertility treatments.
Our Hysteroscopic Procedures
Polypectomy
Removal of endometrial polyps that can interfere with implantation or cause abnormal bleeding. Small polyps are removed with graspers, while larger ones may require a resectoscope.
Success Rate: 98%
Complete removal of polyps
Myomectomy
Removal of submucosal fibroids that distort the uterine cavity. Using a resectoscope, fibroids are carefully shaved away in layers until completely removed, preserving healthy uterine tissue.
Success Rate: 85-95%
Depending on size and location
Septum Resection
Division of a uterine septum, a congenital malformation that can increase miscarriage risk. The excess tissue is carefully removed to create a normal uterine cavity shape.
Success Rate: 95%
For non-obstructive azoospermia
Adhesiolysis
Treatment for Asherman’s syndrome (intrauterine adhesions) by carefully cutting and removing scar tissue to restore the normal size and shape of the uterine cavity.
Success Rate: 70-80%
For moderate adhesions
Tubal Cannulation
Procedure to unblock fallopian tubes by passing a thin catheter through the tubal ostia (opening) under hysteroscopic guidance, potentially restoring natural fertility.
Success Rate: 60-70%
For proximal tubal blockage
Retained Products Removal
Precise removal of placental or fetal tissue that remains after miscarriage or childbirth, reducing the risk of infection and bleeding while preserving fertility.
Success Rate: 95%
Complete tissue removal
Benefits of Operative Hysteroscopy
Fertility Enhancement
- Improved Implantation: Removing polyps and fibroids creates a healthier environment for embryo implantation
- Reduced Miscarriage Risk: Correcting uterine abnormalities like septum significantly lowers miscarriage rates
- Enhanced IVF Success: Studies show hysteroscopic correction of uterine factors before IVF can improve success rates by 10-15%
Patient Advantages
- Minimally Invasive: No external incisions, resulting in minimal scarring and faster healing
- Same-Day Procedure: Outpatient surgery with quick recovery, typically returning to normal activities within 2-3 days
- Dual Function: Allows for diagnosis and treatment in a single procedure, saving time and reducing discomfort
- Uterine Preservation: Treats conditions while preserving the uterus for future fertility
Restore Your Reproductive Health
Schedule a consultation to learn if operative hysteroscopy can help address your fertility challenges