HYSTEROSCOPY AS AN INPATIENT OR DAYCASE PROCEDURE Information Leaflet Your Health. Our Priority. www.stockport.nhs.uk Gynaecology, Woman's Unit | Stepping Hill Hospital Page 2 of 5 Hysteroscopy Hysteroscopy is a procedure which enables your doctor to check the lining and the inner shape of your womb. This is done by passing a thin fibre-optic telescopic camera through the neck of the womb (cervix). Most of the times this is carried out as an outpatient procedure, but sometimes, as in your case, admission to the hospital is required. It is a day case procedure and usually, you will be in the hospital for less than a day. Reasons for carrying out hysteroscopy Hysteroscopy can help find the cause for the following and carry out treatment if required: Heavy periods Irregular periods Bleeding in-between periods Bleeding after intercourse Bleeding after menopause Excessive vaginal discharge Investigation of infertility Treatment of polyps and fibroids, scar tissue, septum inside the womb and before carrying out ablation to manage heavy periods Usually, a specimen of the lining of the womb is taken (biopsy) and sent for further examination in the laboratory, at the same time as Hysteroscopy. www.stockport.nhs.uk Gynaecology, Woman's Unit | Stepping Hill Hospital Page 3 of 5 What are the risks and complications? Infection- this is very uncommon. See your GP if your discharge becomes heavy or foulsmelling or uncomfortable Heavy bleeding - contact your GP Perforation of the womb - the instrument might go through the wall of the womb; this is rare (about 1%). Most of the time the injury in the uterus heals by itself but you may be kept in hospital overnight to be monitored. A laparoscopy (insertion of a telescope through your umbilicus) may be performed to investigate any possible internal injury. Very rarely, a laparotomy (i.e. an operation through a larger incision) is necessary to repair an injury These will be discussed with you prior to you signing the consent form. What happens before your operation? You will be asked to attend the pre-assessment clinic. At the pre-assessment clinic: Blood samples and urine samples will be tested Temperature, pulse and blood pressure will be checked Your fitness for anaesthetic will be assessed You will be contacted with a date for your surgery Before the procedure under general anaesthetic: You must not eat or drink for 6 hours before the operation You will be seen by an anaesthetist on admission Although not normally necessary, 1-2 hours before the operation you may have a “pre-med”, a tablet or injection to relax you, if prescribed by the anaesthetist You must make sure that you are not pregnant and continue to use protection till the day you come in for your operation Your consent for your operation will be confirmed What happens after the procedure? If you have had a general anaesthetic: You will wake up in the recovery room and blood pressure and pulse will be checked routinely You will be checked for any blood loss from your vagina, which is usually a light period type loss Medication will be available for pain or sickness Depending on your condition you will normally be discharged home after a few hours When you are ready for discharge you will be given One week’s supply of any medication that may be prescribed for you www.stockport.nhs.uk Gynaecology, Woman's Unit | Stepping Hill Hospital Page 4 of 5 A sick note if required Most of the time we will write to you with the results of the biopsy and any further plan and no follow up is required. However, if your consultant wishes to discuss the results of the operation and/or further treatment, an outpatient department appointment for 4-6 weeks will be posted to you When you go home You may have slight blood losses which will gradually stop. Avoid intercourse and tampons for a week to minimise the risk of infection. If the discharge becomes offensive or excessive contact your GP to treat infection You may get some lower tummy cramps. Ordinary paracetamol or Ibuprofen for 24-48 hours is usually sufficient Do not drive for 24-48 hours (check with your insurance company) Contact us Jasmine Suite Jasmine Ward 0161 419 5511 0161 419 5508 www.stockport.nhs.uk Gynaecology, Woman's Unit | Stepping Hill Hospital Page 5 of 5 If you would like this leaflet in a different format, for example, in large print, or on audiotape, or for people with learning disabilities, please contact: Patient and Customer Services, Poplar Suite, Stepping Hill Hospital. Tel: 0161 419 5678 Information Leaflet. Email: [email protected]. Our smoke free policy Smoking is not allowed anywhere on our sites. Please read our leaflet 'Policy on Smoke Free NHS Premises' to find out more. Leaflet number Publication date Review date Department Location www.stockport.nhs.uk MAT37 December 2014 December 2017 Gynaecology, Woman's Unit Stepping Hill Hospital Gynaecology, Woman's Unit | Stepping Hill Hospital
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