You are here : Healthcare > Hysteroscopy > Endometrial Ablation
Hysteroscopic Endometrial Ablation
You may be having
problems with your
periods. Your periods
may be heavy. You
may be bleeding
between your periods.
You may be bleeding
after you have passed
the menopause when
you should have
no more periods.
A scan may have
shown thickening
of the lining of
your uterus, which
is called the endometrium.
We use a special
narrow telescope,
called a hysteroscope,
to examine your
uterus.
An Endometrial
ablation is an
alternative
to hysterectomy
for women with
heavy bleeding
by completely
destroying the
endometrium
lining your
uterus . An
endometrial
ablation is
an operation
to permanently
destroy the
endometrium
lining of your
uterus. We pass
a special telescope,
called a hysteroscope,
through your
vagina and cervix
and into your
uterus. We pass
instruments
down the hysteroscope
to destroy your
endometrium.
There are several
ways of destroying
the endometrium.
These are:
Roller
ball diathermy
- This instrument
has an electrically
heated metal
ball on one
end. We roll
this back
and forth
across the
lining to
destroy it.
The electric
current can
also seal
any bleeding
areas. You
will usually
need a general
anesthetic
for this.
Laser
ablation
- This is an
established
way of doing
this operation
and is very
similar to diathermy.
It is less used
due to the high
cost and availability
of the laser
equipment. There
is no evidence
that it is much
better that
the other ablation
treatments.
You will usually
need a general
anesthetic.
Balloon
ablation
- This is a
simple but effective
method of destroying
your endometrium.
We insert a
special thin-walled,
plastic balloon
into your uterus
and fill it
with warm water.
We then heat
the water inside
the balloon.
The temperature
of the water
and time that
the balloon
is left inside
your uterus
is carefully
controlled electronically.
Only the endometrium
is destroyed.
We can do this
operation under
local anesthetic.
Microwave
treatment
- A newer technique
called microwave
endometrial
ablation (MEA)
does not use
a hysteroscope.
It uses microwaves
to heat the
inside of your
uterus to destroy
your endometrium.
Again, this
can be done
under local
anesthetic.
Weeks before
your operation
you will need
drug treatment
to make your endometrium
thinner and reduce
its blood supply.
These drugs are
usually danazol
tablets or hormone
injections, called
GnRH analogues.
During the ablation
no tissue samples
are taken for
examination under
the microscope.
For this reason
a few weeks before
the operation
we may give you
a hysteroscopy
and endometrial
biopsy. This is
an examination
of your uterus
and taking a sample
of your endometrium
for examination
under the microscope.
Resection of Fibroids
You are here : Healthcare > Hysteroscopy > Resection of Fibroids
Hysteroscopic Resection of Fibroids
What are fibroids?
Fibroids are ball-like swellings in the wall of your uterus. They are created from an overgrowth of muscle fibers. You may have one or more fibroids. They are common, forming in three to four in 10 of all women (30-40%). Most fibroids do not cause problems and do not require treatment. They are benign but can sometimes be troublesome.
Fibroids can be:
Serosal - just under the outside surface of the uterus
intra-mural - within the muscle wall of the uterus
submucous - just under the inside surface of the uterus.
For this operation you probably have submucous fibroids just below the lining inside your uterus.
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