HYSTEROSCOPY.

This technique allows us to look inside the Uterus by placing a scope into the vagina and minimally dilating the cervix. The scope is 3mm in diameter and saline is used to distend the uterus. we can see tumors, polyps and abnormal tissue. In order to accurately diagnose the causes of uterine bleeding hysteroscopy must be performed. Other techniques  such as fluid ultrasonography are helpful but not as acurate.

Operative Hysteroscopy

This technique is an advanced form of hysteroscopy. Using a specialized instrument called a resctoscope and an electrified loop , we can resect ( remove) fibroid tumors and also ablate the lining of the uterus(endometrium). Resectiong the lining of the endometrium is akin to digging up a lawn and actually cutting away the roots of the grass. If the roots are destroyed completely new grass will not grow. We try to do the same thing with the resectoscope. That is destroy the basal lining of the endometrium. Similarly small fibroid tumors can be removed ina similar fashion. Combining this technique with Myolysis allows us to treat many fibroid conditions that cause heavy bleeding in post reproductive women who WISH TO PRESERVE THEIR UTERUS.