This is a procedure to look inside the uterus with a telescope and operate if necessary. This is done in an operating room, instead of in the office, so that adequate anesthesia can be given. This procedure also allows for removal of large fibroids (abnormal growths of muscle cells of the uterus), large polyps (abnormal growths of gland cells), extensive scar tissue and or repair of other abnormalities of the uterus.
You will be checked in to Meriter Hospital or Dean Same Day Surgery Care Center, and sent to the pre-operative area. There you will meet your nurse who will ask you questions, and get you changed into a gown in preparation for surgery. She/he might also draw some blood, collect a urine sample and start an intravenous line in your arm, through which you will receive medications.
There is a risk of infection, so this is done in a sterile environment. You may also receive antibiotics during the surgery if we think it is necessary. There is also a risk of damage to the organs of the pelvis, but this is very rare. If we think there is damage to your organs, you may be asked to stay overnight in the hospital so we can watch you and make sure you are safe. Very rarely, your abdomen may need to be explored to repair any damage to your organs. It is either done using small (about the size of your thumbnail) incisions in your belly button and in the bikini area or larger incisions running along the bikini line or underneath your belly button. Again, these are very rare occurrences, but if we think there are any problems we will make sure you are safe before we send you home.
You will be discharged home a few hours after your surgery is complete. You can expect to have some discharge, bleeding and mild cramping for several days or even weeks. The discharge may even become malodorous, or tissue may pass from your vagina. This is normal.
You should not take tub baths, use tampons or have intercourse for 1 week after your surgery is completed.
You may have a balloon left inside your uterus to decrease the chance of scar tissue formation. It is connected to a tube that will be placed just within your vagina. This is left in place for 1- 4 weeks. If you do have this balloon inserted, you will be given antibiotics which you will start when you get home that night. It is important that you continue to take antibiotics the entire time that this balloon is in your uterus, and that you do not take tub baths, have intercourse, or use tampons while the balloon is in place. Once the balloon is removed, you can stop taking the antibiotics, and your physician will tell you when it is ok for baths, intercourse and tampons again.
You may also be given hormones while the balloon is in place to stimulate the healing of the uterus. These are usually prescribed for a total of 6 weeks, and you should expect an extra heavy flow when these hormones are stopped.
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