Outpatient Hysteroscopy

Generally

Hysteroscopy means an “optical inspection of the uterine cavity” using a hysteroscope (optical instrument). During hysteroscopy, the doctor assesses the shape of the uterine cavity, the mouth of the fallopian tubes and the mucous membrane of the uterine body and cervix. At the same time, hysteroscopic examination enables a sample to be taken for histological examination and eventually the performing of microsurgery. This is a method that expertly overcomes the blind curettage of the uterine cavity. Curettage (abrasion of the uterine lining, the “scraping” of the uterine cavity) is less time consuming, but it has very low accuracy for diagnosing the type and location of uterine cavity disease than controlled hysteroscopy. At the same time, a micro-insertion outpatient hysteroscopy removes the necessity for general anaesthesia and the need for surgical (mechanical) dilatation of the cervical canal. At the Centre for Foetal and Gynaecological Diagnostics, we use the most advanced micro-insertion hysteroscope – a CAMPO TROPHYSCOPE® from KARL STORZ. This compact hysteroscope was specially designed for procedures directly in the outpatient clinic of a doctor – endoscopic specialist. It provides the patient with maximum comfort and safety. It is especially suitable for the examination of patients with fertility disorders, non-birthing women and menopausal patients. The specially designed tip of the instrument ensures access to the uterine cavity through the cervical canal without trauma, reducing the risk of injury to almost zero. In addition, the risk of so-called “blurred vision” is eliminated by this type of hysteroscope by sticking tissue to the tip – the optics of the instrument. Brilliant image quality is achieved by the 2.0 mm HOPKINS® rod optics and an improved light beam. The outer diameter of the CAMPO TROPHYSCOPE® is only 2.9 mm, which enables examination of the uterus without the need for surgical dilatation (widening) of the cervical canal, thus eliminating patient pain and the need for anaesthesia. Atraumatic hysteroscopy is especially important for non-birthing patients. Elimination of anaesthesia in outpatient hysteroscopy is also beneficial for patients with metabolic syndrome (high blood pressure, diabetes, obesity, varicose veins, etc.) who are at high risk of complications with general anaesthesia.