Use of Direct Visualization Techniques in Fibroids

Use of Direct Visualization Techniques in Fibroids

Hysteroscopy
Hysteroscopy usually is a quick office procedure and done by a little telescope like medical instrument.

It examines the inside of your womb by using a small telescope (hysteroscope) which is inserted into your womb through your vagina.
Hysteroscopy can also be used to take a tissue sample (biopsy) of the lining of the womb.
You may be given a local anaesthetic, general anaesthetic or in some cases, neither.
If you do not have an anaesthetic, the procedure may be slightly painful.
Hysteroscopy is done in hospital and you can usually go home the same day.

After a specific dye is injected into the uterus, X-ray pictures (hysterosalpingography) or ultrasound pictures (sonohysterosgraphy),  are taken to visualize the uterine cavity.

As previously mentioned, one of the most common conditions confused with fibroids is adenomyosis.
In adenomyosis the lining of the uterus infiltrates the wall of the uterus, causing the wall to thicken and the uterus to enlarge.

Laparoscopy
This more invasive procedure can also aid in definitive diagnosis.

Laparoscopy allows direct visualization of the outside of the uterus and the surrounding pelvic structures by introducing a small camera on the end of a tube (laparoscope) directly into the abdominal cavity.

It can also be used to take tissue samples.

The procedure involves making a small cut (about 1cm wide) in the lower abdomen, just below the belly button, and inserting a thin telescope (the laparoscope).

You may also have a probe inserted into your vagina to help move your womb so the laparoscope can see it from different angles.

The operation usually takes about 30 minutes and is done in hospital.

You will be given a general anaesthetic before the procedure and will have a few stitches afterwards.
Sometimes air is pumped into the abdomen as part of the procedure and this may leave you feeling bloated.