Uterine polyps are excessive growths of the lining of the uterus (endometrium).
There are several ways used to diagnose uterine polyps, i.e.,
In terms of sheer diagnostic accuracy, hysteroscopy is considered as the gold standard for diagnosis of uterine polyps. With the modern technological advances, this can be achieved by passing a tiny telescope of a 2 mm hysteroscope (size of ballpoint pen’s refill) under local anesthesia and some women have it without any anesthetic. This is because they feel experience of pain from local anesthesia was more than the miniature hysteroscopy.
Hysteroscopy allows direct visualization of the uterine cavity
It is possible to not only to explore the uterine cavity with a tiny hysteroscope but if a polyp found it can also be taken out at the same time. This approach is called as “see and treat” approach.
This ‘See and Treat approach blurs the distinction between diagnostic and therapeutic procedures.
This procedure is entirely outpatient and minimally invasive typically using local anesthesia and sometimes medications are used to soften the cervix.
This procedure typically will last one two to minutes.
Truclear technique is the latest technological advancement in the treatment of uterine polyps. Here typically cervix is softened with a medication and a local anesthetic is injected to neck of the womb and then after dilating the cervix to few millimeters, Truclear hysteroscope is gently introduced into the uterine cavity. After confirming the presence of uterine polyp, it is cut and suctioned and tissue is retrieved.
This whole procedure typically lasts between one to two minutes. Many women like to watch this procedure on the screen at the same time. After few minutes of rest, patients usually walk out of the clinic.
Few days later doctor will contact about the tissue diagnosis of the polyp removed.
This is in comparison to traditional method, where patients were put to sleep (general anesthetic) and cervix use to be dilated to twice the size (10mm) and electrical heat energy is used to resect the polyps. The traditional technique is known to be associated with higher complication rates compared to Truclear system.
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