PATIENT INSTRUCTIONS for HYSTEROSCOPY

 Hysteroscopic polypectomy, myomectomy, resection of septum and lysis of adhesions

 

Planning for your procedure

Hysteroscopy is surgical procedure that we perform at Penn Medicine Princeton Medical Center of Princeton in Plainsboro, or more commonly at the Distler Surgical Center on the hospital campus. Evelyn in our Lawrenceville office 609-896-0777 ext 218 can schedule this for you. Usually, they are performed on Tuesdays. You will be instructed not to eat or drink anything after midnight before surgery and continuing into the morning of surgery. You will also be instructed to take a medication called misprostol (Cytotec) 3 tablets the evening before surgery to soften up your cervix and make the procedure easier. Regardless of the instructions on the bottle, please insert them in the vagina the evening before surgery. Some women will notice fevers, chills or diarrhea after taking this medication, but these symptoms are not a cause for concern prior to surgery.

What to expect on the day of Hysteroscopy

After you arrive at Princeton and are prepared for surgery, you will receive general anesthesia or heavy sedation. Once you are asleep, the cervix is dilated and telescope like device called a hysteroscope is inserted in the uterus. The surgeon will inspect for polyps, fibroids, scar tissue and septums in the uterus, and if necessary treat these conditions by inserting tiny surgical instruments through a channel in the hysteroscope.

The operation can take anywhere from 5 minutes to an hour or more, and you will usually go home an hour or two after surgery. If needed you can treat any pain with over-the-counter ibuprofen (Advil, Motrin, etc.) 3 pills every 6 hrs as needed.

Follow up care after the hysteroscopy

If you are having excessive pain, running high fevers, unable to urinate or have trouble keeping down foods or liquids, please let us know. After office hours, you can reach the doctor through the answering service by calling our main phone number at 609-896-0777.

You will need to come in for a post-operative visit with the doctor 2 weeks after surgery. This can be scheduled during our morning ultrasound hours.

Complications of hysteroscopy

The complications of hysteroscopy include bleeding, infection, development of blood clots, problems with anesthesia, fluid overload and perforation of the uterus. We will monitor how much fluid your body is absorbing and occasionally for safety reasons we will need to stop the operation and complete it at a later date.

Please note these instructions are intended for patients of Dr. Seth Derman at Princeton IVF in Lawrenceville, NJ. This or any website is not a substitute for the care of a qualified physician, and you should rely on your doctor's instructions for any procedure which he or she performs.