About this procedure
Hysteroresectoscopy is an operative form of hysteroscopy used to visualise the uterine cavity and, when justified, remove selected lesions such as endometrial polyps or some submucosal fibroids.
What the examination or consultation can show
The procedure involves an instrument with a camera and a working component introduced through the cervix. Operative hysteroscopy is different from a simple diagnostic inspection; its planning, risks and recovery need individual discussion.
When an assessment may help
A confirmed endometrial polyp, certain submucosal lesions or abnormal uterine bleeding linked to a possible intrauterine cause may lead to consideration of surgery. Some findings instead call for surveillance or another approach.
Important limitations and differences
Not every polyp requires removal. Clinical decisions take account of symptoms, age, pregnancy plans, ultrasound appearance and potential tissue abnormalities. A procedure cannot be justified simply because a scan reports a small lesion.
Preparation and procedure
Before the intervention, a gynaecologist reviews imaging and medical history, discusses anaesthesia and checks for contraindications. Mention possible pregnancy, anticoagulants, allergies and previous uterine surgery. The team provides specific instructions rather than a universal preparation plan.
Next steps and follow-up
After the procedure, mild cramps and light bleeding may occur. The surgical team explains restrictions, follow-up and expected recovery. Tissue removed for pathology, when indicated, helps guide the next steps. Risks can include bleeding, infection, injury to the uterus and fluid-related complications.
When to seek urgent care
Heavy bleeding, worsening severe pain, fever with chills or fainting after the procedure requires urgent assessment. Call 103 for major bleeding or other emergency symptoms; do not wait for a scheduled postoperative visit.
Related health information
Gynaecological pelvic ultrasound; Gynaecological oncology consultation; Cervical electrosurgical excision.
Signs and symptoms
Diagnosis and tests
Care and treatment approaches
When to seek urgent care
Frequently asked questions
How does hysteroresectoscopy differ from diagnostic hysteroscopy?
Diagnostic hysteroscopy primarily inspects the uterine cavity; hysteroresectoscopy involves a therapeutic step to remove tissue when indicated.
Does everyone with an endometrial polyp need surgery?
No. The decision depends on symptoms, imaging, risk factors and individual plans.
Will removed tissue be examined?
When indicated, tissue is sent for histopathology to establish the nature of the changes and guide further care.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
