A hysteroscopic surgery is a minimally invasive outpatient procedure used to diagnose and treat infertility concerns. While under monitored sedation, your surgeon inserts a thin scope through the vagina and cervix to examine the uterus. This allows them to identify issues such as polyps, fibroids, or other abnormalities that may interfere with pregnancy.
The procedure usually lasts 30–60 minutes, and most women can return home the same day. With their advanced surgical skills and reproductive expertise, NCCRM’s physicians are committed to helping you achieve your goal of a healthy pregnancy.
Hysterectomy at NCCRM in Raleigh North Carolina
A hysterectomy is a standard surgical procedure that involves removing the uterus. In some cases, your surgeon may also remove the fallopian tubes and cervix, depending on your medical needs.
Many women choose a hysterectomy to treat:
- Heavy or painful menstrual bleeding
- Endometriosis
- Uterine fibroids
- Chronic pelvic pain
By removing the source of these conditions, a hysterectomy can provide long-term relief and improve quality of life.
Types of Minimally Invasive Hysterectomy (MIH)
At NCCRM, our surgeons perform minimally invasive hysterectomies, which offer:
- Less pain after surgery
- Shorter recovery times
- Small or nearly invisible scars
- Reduced hospital stays
The main approaches include:
- Vaginal Hysterectomy (VH): The uterus is removed through the vagina, avoiding abdominal incisions. This is often the least risky and most cost-effective option, though it may not be suitable if the uterus is too large.
- Laparoscopic Supra-Cervical Hysterectomy (LSH): A small incision is made in the abdomen and instruments are inserted to remove the uterus, while leaving the cervix in place. Patients are typically discharged within a day.
- Total Laparoscopic Hysterectomy (TLH): Similar to LSH, but the entire uterus and cervix are removed through the vagina.
- Laparoscopically Assisted Vaginal Hysterectomy (LAVH): Combines both laparoscopic and vaginal approaches, using small incisions and a camera for guidance. The uterus is then removed vaginally.
Frequently Asked Questions
Q: How do I know if I need a hysterectomy?
A hysterectomy may be recommended if you experience heavy bleeding, severe pelvic pain, or conditions like fibroids and endometriosis that have not improved with other treatments.
Q: What is recovery like?
Most minimally invasive hysterectomy patients return home within 24 hours and recover within a few weeks. Recovery time varies depending on the type of surgery performed.
Q: Will I still be able to get pregnant after a hysterectomy?
No. A hysterectomy permanently ends your ability to carry a pregnancy. If you hope to preserve fertility, talk with your doctor about alternative treatments.
Q: What is the difference between a hysterectomy and hysteroscopic surgery?
A hysterectomy removes the uterus and sometimes other reproductive organs. A hysteroscopic surgery, on the other hand, is a diagnostic and therapeutic procedure that allows your doctor to look inside the uterus and treat minor issues without removing reproductive organs.
Q: Is hysteroscopic surgery painful?
The procedure is done under sedation, so you should not feel pain during the surgery. Some women may experience mild cramping afterward, which usually resolves quickly.
