Sometimes the lining of the uterus fuses together- forms adhesions. These can be the result of infections or injury e.g. after D and C. These can cause irregular bleeding or lead to inability to conceive. Sometime menstruation may stop altogether. Hysteroscopy is an excellent way of removing these adhesions and gives good results.
Hysteroscopic surgery is performed using a hysteroscope (a type of endoscope) that is connected with optical fibers and equipped with a camera which relays the image onto a video screen. The tip of the hysteroscope is inserted inside vagina and gently moved through the cervix into the uterus under vision. Fluid is introduced into the uterine cavity to lift apart the walls of the uterus. The adhesions are visualised and then cut with scissors.
This is a day care procedure. The patient can go home the same day.