Hysteroscopy

In the Gynecological Department of Israel’s leading private clinic “Herzliya Medical Center” the most modern endoscopic procedures aimed at the diagnosis and treatment of diseases of the organs of the female genitourinary system are carried out. In the hospital “Herzliya Medical Center” hysteroscopy is performed by the country’s leading specialists with vast experience in minimally invasive gynecological surgery.

What is hysteroscopy?

Hysteroscopy is a type of endoscopic examination of the uterus that is executed with the help of the elastic optical instrument called hysteroscope. The optics of high-quality help to get the clearest enlarged image that reveals minimal structural changes of the mucous membrane of the vagina, cervix and uterine cavity. The modern endoscopic technology allows both, to diagnose pathological processes and to perform a number of surgical procedures directly during the examination. Hysteroscopy permits the prevention of open or laparoscopic surgery. The minimally invasive nature of the examination maintains the function of the uterus, minimizes the recovery period, and also reduces the risk of infectious complications.

Indications of hysteroscopy

Depending on the indications, two main types of hysteroscopy are distinguished:
Diagnostic hysteroscopy. The purpose of the diagnostic hysteroscopy is the visual examination of the cervix and uterine cavity. The doctor, having found suspicious changes or neoplasms, makes a decision to conduct a biopsy or to completely remove the pathological focus with the subsequent laboratory examination of tissues. Diagnostic hysteroscopy is important in the differential diagnosis of bleeding in the abdominal cavity and pelvis, uterine bleeding, uterine tumors, pain syndrome, female infertility, inflammatory processes and malformations of female genital organs.
Therapeutic hysteroscopy. It is carried out for minimally invasive organ-saving surgical procedures that include the removal of tumors localized in the endometrium (mucous membrane of the uterus).

Hysteroscopic removal of uterine polyps in the “Herzliya Medical Center” hospital

Hysteroscopy is a profiling method for the removal of uterine polyps. Uterine polyps expand on the surface of the mucous membrane and can have both, benignant and malignant (a noninvasive form of uterine cancer) impacts. Some types of uterine polyps can undergo malignant transformation and are related to precancerous processes that require surgical removal. During hysteroscopy, the polyp is removed with the special surgical instrument (flexible manipulators together with the hysteroscope are inserted into the uterus cavity). Optical magnification allows obtaining full control over the procedure, which helps to determine the polyp’s boundaries accurately, and, if necessary, to conduct hemostasis (in order to stop bleeding). All tissues that are removed during hysteroscopy are sent to the laboratory, where the thorough histological analysis is carried out, which include:

• Determination of the neoplasia’s type – benignant or malignant polyp;
• Determination of the type of malignant cells, the degree of differentiation and the presence of specific hormonal and/or biological receptors;
• Determination of the degree of invasion (penetration into the submucosa) of a malignant neoplasm.

The further treatment is affected by the results of the histological examination and the polyp that is removed during the execution of hysteroscopy.

How is hysteroscopy carried out?

It is recommended to carry out a plan hysteroscopy a week after menstruation. However, the doctors of the clinic may also carry out emergency examinations, when the clinical indications are present (for example, bleeding, not related to the menstrual period). The specialists of the gynecology department of the hospital “Herzliya Medical Center” tend to conduct all the necessary preparation (interruption of the use of anticoagulants, blood coagulation, consultation about anesthesia). The endoscopic intervention is executed under both, the regional (epidural or spinal) and the general anesthesia. The effective methods with the use of anesthesia eliminate pain during the procedure. In most cases, the hysteroscopic examination is carried out within the day hospital. The long hospitalization is not required even if surgical procedures are necessary. Patients are discharged for further outpatient monitoring in the absence of bleeding and at stabilization of vital indicators after anesthesia.

The benefits of hysteroscopy in the “Herzliya Medical Center” hospital

Experienced doctors specialized in diagnostic and therapeutic hysteroscopy in the leading gynecological centers of the world are practicing in the hospital of Herzliya Medical Center in Israel. The most advanced medical equipment guarantees maximum safety for this examination, as well as eliminates the risk of complications that might arise after the examination. The modern histopathological laboratory of the clinic allows to conduct the full analysis of tissue samples as quickly as possible and helps to establish an accurate diagnosis. Usually, the price of hysteroscopy in Israel depends on the type of procedure performed (visual diagnostics, biopsy and laboratory diagnostics, hysteroscopy for the removal of the polyp). The price of hysteroscopy and other necessary procedures in the Herzliya clinic is discussed individually with a medical consultant.