Diagnostic Hysteroscopy in Malaga
Diagnostic Hysteroscopy
Diagnostic Hysteroscopy in Consultation
What is diagnostic hysteroscopy?
The diagnostic hysteroscopy is a procedure that involves examining the inside of the uterus. It is a valuable diagnostic tool that is performed by passing a thin device called a hysteroscope, which is equipped with a small camera, through the cervix and into the uterus or womb.
The gynaecologist performing the procedure can see if there are any problems within the uterus that may need further investigation or specific treatment, either through the hysteroscope itself or another type of medical or surgical therapeutic solution.
Recent technological developments, such as the design of new small diameter rigid and flexible hysteroscopeshave made it possible to realise a hysteroscopy in the office setting on an outpatient basis.
In addition, an atraumatic or "non-contact" insertion technique has been perfected, also called the vaginoscopic approachwhich has further minimised the patient's pain and discomfort during the procedure.
Among the most commonly used distention media for diagnostic hysteroscopy are currently carbon dioxide (CO2) and saline. Although carbon dioxide is generally well tolerated and used in different endoscopic studies in the body with good results, uterine distention with normal saline has been shown to be more comfortable for the patient, is more cost-effective and provides a superior hysteroscopic view in some cases, particularly with intrauterine haemorrhage.
However, despite high sensitivity and specificity, technical improvements, high patient acceptability, low failure and complication rates, still a relatively low percentage of gynaecologists perform these procedures in the consulting areas.
This may be due to a lack of knowledge about the benefits of such outpatient techniques, and the perception that a high level of expertise is required to perform the procedure.
Clínica Ginecológica Pérez-Bryan, a team highly specialised in diagnostic hysteroscopy.
The Pérez Bryan Gynaecology Clinic in Málaga technology is available, and the service is offered in the form of diagnostic hysteroscopy at office level, with a team of specialised gynaecologists, on a fully outpatient basis and with the advantages of lower costs and minimal side effects associated with the procedure.
The outpatient hysteroscopy has many advantages over procedures done in the operating theatre, such as safety, efficiency, convenience and cost-effectiveness. It is now considered that, using an appropriate referral system and up-to-date medical criteria, up to 90% of hysteroscopies can be done in the office and on an outpatient basis.
Indications for in-office diagnostic hysteroscopy
Abnormal uterine bleeding, such as longer or heavier menstrual periods, or periods that occur less frequently than usual
Diagnosing the cause of the miscarriage repeated miscarriage when a woman has more than two miscarriages in a row.
Removing adhesions that may occur due to infection or previous surgery
To diagnose the effects of thesuch as fibroids and polyps (non-cancerous growths in the uterus)
Perform sterilisation, in which the hysteroscope is used to place small implants in the fallopian tubes, as a permanent form of birth control.
Incidental finding of an abnormal solid mass or fluid in the uterine cavity made by transvaginal ultrasound.
Identification, location and recovery of lost intrauterine devices
Glandular abnormalities in cervical smears.
Where to perform a diagnostic hysteroscopy?
At Pérez-Bryan Gynaecology Clinic in Malaga, it is our desire to offer new technologies and the best diagnostic protocols to our patients in the outpatient hysteroscopy service. , where we are constantly evolving to provide the best gynaecology service in Malaga and where you can have a diagnostic hysteroscopy if you need it.
We are committed to providing high quality care to all our patients.
Do not hesitate to contact us, we will be delighted to help you.
How is diagnostic hysteroscopy performed in the clinic?
The diagnostic hysteroscopy is scheduled when the patient does not have a menstrual period.
To make the procedure easier, your gynaecologist may dilate your cervix before your hysteroscopy. You may be given a medication that is inserted into your cervix, or special dilators may be used.
Generally speaking, there are 2 systems of diagnostic hysteroscopy: panoramic, also known as direct optical or contact hysteroscopy, and microhysteroscopy or hysteroscopy with distention media.
Contact hysteroscopy is a procedure in which no distending means are used and the hysteroscope is passed directly into the uterus and contacts the endometrial lining for maximum magnification. Only the tissue visible through the distal tip of the instrument can be inspected and assessed. In these cases, a speculum is first inserted into the vagina and then the hysteroscope is inserted and gently moved through the cervix into the uterus. This technique is much slower and blunt trauma to the uterine cavity may lead to higher rates of uterine perforation or discomfort.
In the newer techniques, a vaginoscopic approach is used, which is a non-traumatic technique, where the hysteroscope is introduced into the vagina without a speculum. The vagina is distended with saline. Carbon dioxide may also be used to distend the walls of the uterus. This type of approach has made it possible to eliminate any premedication, analgesia or anaesthesia, making the procedure quicker and more uncomplicated.
The amount of fluid used is carefully checked throughout the procedure. This type of instrument allows biopsy samples to be taken if necessary by passing special forceps through the hysteroscope. This type of endoscopic biopsy sampling is painless and discomfort-free.
The hysteroscopes available for this approach are typically 1-2 mm smaller than conventional hysteroscopes. This reduction in instrument diameter and overall hysteroscope size reduces the cross-sectional area of the instrument by approximately 50% to 75%. Consequently, these hysteroscopies are less painful than conventional hysteroscopies.