![]() A liquid solution or carbon dioxide gas may be used to fill the uterus for better viewing.The hysteroscope or resectoscope will be inserted through the cervical opening into the uterus.This process will gradually enlarge the opening of the cervix so that the hysteroscope or resectoscope can be inserted. Each rod will be larger in diameter than the previous one. The cervix will be dilated by inserting a series of thin rods.A type of forceps, called a tenaculum, may be used to hold the cervix steady for the procedure.Your cervix may be cleansed with an antiseptic solution.Your physician will insert an instrument called a speculum into your vagina to spread the walls of the vagina apart to expose the cervix.You will be positioned on an operating or examination table, with your feet and legs supported as for a pelvic examination.An intravenous (IV) line may be started in your arm or hand.You will be asked to undress completely and put on a hospital gown.Generally, ablations using a hysteroscope or resectoscope follow this procedure: The type of anesthesia will depend upon the specific procedure being performed. Procedures may vary depending on your condition and your physician’s practices. What can I expect from the procedure?Īn endometrial ablation may be performed in a physician’s office, on an outpatient basis, or as part of your stay in a hospital. Ultrasound is a diagnostic imaging technique that uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. ![]() Other ablation techniques use ultrasound to guide the instrument to the areas for treatment. This device is similar to the hysteroscope but has a built-in wire that uses electrical current for resecting (removing) endometrial tissue. Ablation instruments can be inserted through the opening and a camera or video camera can be used to record findings through the hysteroscope.Ī resectoscope may be used instead of the hysteroscope. Some endometrial ablation procedures are performed using a hysteroscope, a lighted viewing device inserted through the vagina for a visual examination of the canal of the cervix and the interior of the uterus. Microwave ablation: Microwave energy is delivered through a slender probe that has been inserted into the uterus and destroys the endometrial lining.Cryoablation (freezing): A probe uses extremely low temperatures to freeze and destroy the endometrial tissues.The electrode delivers electrical current and destroys the endometrial lining. Radiofrequency ablation: A triangular mesh electrode is expanded to fill the uterine cavity.Balloon therapy: A balloon at the end of a catheter is inserted into the uterus and filled with fluid, which is then heated to the point that the endometrial tissues are eroded away.Hydrothermal: Heated fluid is pumped into the uterus and destroys the endometrial lining with high temperature.Electrical or electrocautery: Electric current travels through a wire loop or rollerball that is applied to the endometrial lining to cauterize the tissue.There are several techniques used to perform endometrial ablation including the following: In some cases, endometrial ablation may be an alternative to hysterectomy. However, after ablation, a woman still has her reproductive organs. In most cases, a woman cannot become pregnant after endometrial ablation because the lining that nourishes a fetus has been removed. Because the endometrial lining is destroyed, it can no longer function normally, and bleeding is stopped or controlled. Endometrial ablation is a procedure to permanently remove a thin tissue layer of the lining of the uterus to stop or reduce excessive or abnormal bleeding in women for whom childbearing is complete.Įndometrial ablation may be recommended to destroy the lining of the uterus.
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