Op.Dr. Nurettin Türktekin
Hysteroscopic Surgery

Hysteroscopic Surgery

Hysteroscopy surgery is the examination of the inside of the uterus by entering through the cervix with a special camera.

Hysteroscopy, which is a very important procedure in protecting women's health, is ideal for those who have difficulty having a baby. This treatment must be performed by specialist doctors in the right clinics. For those who wonder what hysteroscopy surgery is, this treatment is popularly known as vaginal camera.

What is Hysteroscopic Surgery?

Hysteroscopy is a very important surgery in the process of having a baby. In this procedure, a special optical device is used and the inside of the uterus is observed by entering through the cervix. It is the process of monitoring the part of the tubes opening to the uterus with a camera. This surgery can be performed for two purposes: diagnostic and treatment. The answer to the question of what is diagnostic hysteroscopy is the applications performed for diagnostic purposes.

This treatment is applied vaginally through the cervical canal by entering the uterus with special cameras. Before the procedure, the patient is given some medication and the cervix may need to be opened. Then the tubular device consisting of a camera and lens system is advanced into the uterus. The procedure, which allows observation of the inside of the uterus, can also be performed under general anesthesia.

In Which Diseases Is Hysteroscopy Used?

When it is asked what hysteroscopy is, it is a term formed by the combination of the words hystero and scopy. Hystero means uterus and scopy means imaging. Operative hysteroscopy is an application performed for surgical purposes. Complaints and diseases in which this method is used are as follows:

  • Bleeding complaints
  • Menstrual irregularity
  • Pain in the uterus area
  • Fibroids and polyps in the uterus
  • Congenital anomalies
  • Recurrent pregnancy losses
  • Removal of spirals with lost ends
  • Adhesions in the uterus
  • Curtain in the uterus

After hysteroscopy, which is performed for diagnostic and therapeutic purposes, the specialist doctor's advice on sexuality is important. In this procedure, the cervix must be widened enough for the camera to pass through. For this reason, the inner cavity of the uterus is enlarged with a thin long metal rod called a spark plug.

Who is a Suitable Candidate For Hysteroscopic Surgery?

Conditions such as the opening of intrauterine adhesions may require hysteroscopic surgery. The hysteroscope directed by the specialist doctor is inserted through the cervix. It is a procedure applied for treatment and observation purposes, especially in recurrent pregnancy losses. The answer to the question of when hysteroscopy is performed is within 10 days after menstruation.

This treatment may require the application of different methods depending on the purpose for which it is performed. It is a method applied for the treatment of abnormal bleeding in the postmenopausal period. Patients with focal lesions are also suitable candidates for this surgical method. The answer to the question such as whether a bath is taken after hysteroscopy is among the recommendations of specialist doctors. What should be done after the operation must be strictly followed.

How is Hysteroscopic Surgery Procedure Performed?

This procedure is applied to examine women who have failed in IVF treatment and to determine the problem. In the first 10 days after the onset of menstruation, the intrauterine wall is not thickened. This period is the best time for imaging through the cervix. The following techniques are followed during hysteroscopic surgery:

  • The cervix is dilated with long metal rods called spark plugs without perforating the uterus.
  • The imaging device is advanced into the uterus through the vagina.
  • The uterus is filled with fluid and the image reflected on the monitor is monitored.
  • After hysteroscopy, the patient is discharged after a few hours.

Intrauterine adhesions among gynecological diseases can cause a disease called Asherman syndrome. Hysteroscopy can be used for diagnostic or therapeutic surgery in such diseases. Since the thickness of the uterus can prevent some diseases from being seen, it is necessary to perform the treatment at the right time. Those who have hysteroscopy are sent home on the same day after the procedure.

What Happens in the Recovery Process After Hysteroscopic Surgery?

In which cases hysteroscopy will be applied depends on the decision of the specialist doctor. In this treatment, the entry points of the tubes in the uterus, the cervix, and the vagina, especially the inner canal of the cervix, are monitored. Preparation may be required before the operation. In patients with regular menstrual cycles, the operation date is determined after the end of menstruation. The recovery process after hysteroscopy proceeds as follows:

  • After operative hysteroscopy, bleeding in the form of light spotting may be observed.
  • It is normal to see swelling in the abdomen after hysteroscopy.
  • Patients can take painkillers in case of pain that persists for 1-2 days.
  • Hormonal treatment can be started according to the current condition of the patient.
  • Sexual intercourse is prohibited for a certain period of time after the operation.

Although there are some patients who become pregnant immediately after hysteroscopy, this procedure does not have a direct effect on pregnancy. A doctor's examination is a prerequisite for deciding on hysteroscopy. It is one of the treatment methods for those of reproductive age who have difficulty conceiving. It is an ideal application for people who have a lesion in the uterus after ultrasonography. During this procedure, problems such as accumulation of fluid in the lungs may occur. However, in case of prolonged bleeding after hysteroscopy, a doctor should be consulted.

What is Office Hysteroscopy?

Office hysteroscopy is a comfortable diagnostic procedure that is usually performed under local anesthesia. In this procedure, the inside of the uterus is visualized with a camera, and since the diameter used for diagnostic purposes is 5 mm, it is not necessary to dilate the cervix. The answer to the question of why diagnostic office hysteroscopy is performed in the following conditions:

  • Asherman syndrome
  • Polyps and fibroids in the uterus
  • Intrauterine adhesions
  • Shape disorders

It is important to follow the specialist's recommendations to ensure a smooth recovery after hysteroscopy. Office hysteroscopy, which is performed with very small instruments, can remove small polyps or spirals left in the uterus. Patients with abnormal uterine bleeding before and after menopause may bleed after hysteroscopy. It is possible to get the best results from the treatment by consulting specialized doctors in this field.

What is Operative Hysteroscopy?

Thanks to technological advances, hysteroscopic treatment is more easily performed today. Operative hysteroscopy, which is performed with a millimetrically slightly thicker device, is the name given to the surgical method. In this method, the small instruments required for surgery can be used. The question of how long bleeding lasts after hysteroscopy is usually answered within a few days. However, bleeding may last longer depending on the instruments and procedures used in operative hysteroscopy. With these instruments, lesions such as polyps can be removed and treated.

The biggest advantage of hysteroscopy is that it is performed through the natural vaginal route. However, in order for pregnancy conditions to occur after hysteroscopy, this procedure should be performed by specialist doctors. Op. Dr. Nurettin Türktekin achieves very successful results in the treatment of patients with hysteroscopic surgery. You can learn all the details about the treatment and hysteroscopy prices by making an appointment at our clinic.



Ovarian cysts are fluid-filled sacs or vesicles seen inside the ovary. Normally, during each menstrual period, a cyst called a follicle, which carries the egg cell and can reach 3 cm in size, forms in the ovaries. Then this cyst cracks and the egg is released. In young girls with ovulation problems, normal or physiological follicle cysts that cannot rupture can grow every month and reach 5-10 cm, while small numbers of 0.5-1 cm in size, which we call polycystic ovaries, can be seen in series. Apart from these functional cysts, benign or malignant ovarian cysts can also be seen in all age groups.

Except for the most common functional ovarian cysts, cysts can be benign or malignant tumoral cysts. In addition, as a result of infection, abscess-shaped cysts may occur, which is usually accompanied by pain and high fever.


In response to the question of why hysteroscopy is performed, diagnostic and therapeutic methods can be given as examples. Hysteroscopy surgery for therapeutic purposes is intended for patients with polyps, fibroids, excessive bleeding, and intrauterine curtains. It is also a suitable treatment method for those whose spirals are lost in the uterus.

Hysteroscopy surgery is performed to observe the inside of the uterus in cases such as miscarriage and early pregnancy. It is recommended that this treatment, which can cause conditions such as infection in the uterus, should be performed by specialist doctors. It is also necessary to pay attention to the risks related to the anesthesia given to the patient.

In diagnostic hysteroscopy performed in the clinic, sedatives may be given to relax the patient. This way, patients who undergo hysteroscopy do not feel any pain or soreness. In some cases, some bleeding may occur after the procedure.

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