What is a hysteroscopy d&c? Discover the details of this important diagnostic and treatment procedure, including its purpose, pre-procedure preparation, the procedure itself, and potential risks and complications.

Understanding Hysteroscopy with D&C

Hysteroscopy with D&C (Dilation and Curettage) is a medical procedure that combines two important diagnostic and treatment techniques. The purpose of this combined procedure is to:

• Diagnose or treat abnormal uterine bleeding, such as heavy or prolonged menstrual periods or bleeding between periods
• Remove uterine polyps or fibroids
• Determine if a woman has uterine cancer

Pre-Procedure Preparation

Before the hysteroscopy with D&C procedure, patients should inform their healthcare provider about any medications they are taking, including over-the-counter drugs, supplements, or herbal remedies. Patients may be asked to stop taking certain medications that can affect blood clotting, such as aspirin or ibuprofen, in the days leading up to the procedure.

On the day of the surgery, patients will typically be instructed not to eat or drink anything for 6-12 hours prior to the procedure. They should take any necessary medications as directed by their healthcare provider, using only a small sip of water.

The Hysteroscopy with D&C Procedure

The hysteroscopy with D&C procedure typically takes 20-30 minutes to complete. The first step is the dilation of the cervix, which the doctor will do by grasping the cervix with a clamp and inserting a thin, flexible metal instrument called a sound to determine the depth and angle of the uterus. The cervix is then dilated to allow the insertion of the hysteroscope, a thin, lighted camera that is used to visually examine the inside of the uterus.

Once the hysteroscope is in place, the doctor can perform the D&C portion of the procedure, which involves using a curette (a spoon-shaped instrument) to remove tissue from the inside of the uterus for further examination.

Recovery and Potential Complications

The recovery time following a hysteroscopy with D&C is generally short, with patients typically experiencing cramps similar to menstrual cramps for less than an hour, although some may have cramps for up to a day or more. Light bleeding may also occur for several days after the procedure.

Patients will usually be kept in the recovery room for an hour or until they are fully awake, and they will need to arrange for a ride home, as they should not drive for at least 24 hours after the procedure due to the effects of anesthesia.

As with any surgical procedure, there are potential complications associated with hysteroscopy with D&C, including infection, bleeding, pelvic inflammatory disease, perforation of the uterus, and complications from the fluid or gas used to expand the uterus. Patients should discuss any concerns with their healthcare provider prior to the procedure.

Factors that May Interfere with Hysteroscopy

Certain conditions or factors can interfere with the successful completion of a hysteroscopy, including:

• Pelvic inflammatory disease
• Vaginal discharge
• Inflamed cervix
• Distended bladder

Procedure Cost and Highlights

The cost of a hysteroscopy with D&C procedure at St. George Surgical Center is $3,295.00, with the CPT codes 58120 and 58555.

Some key highlights about St. George Surgical Center include:

• Located in sunny St. George, Utah
• Physician-owned and operated multi-specialty surgical facility
• Board-certified surgeons and anesthesia providers
• Prestigious AAAHC accreditation and Medicare certification
• 99.6% patient satisfaction rate
• Extremely low infection rate of 0.037% (national average is 2.6%)
• 11,000 sq ft facility with 4 state-of-the-art surgery suites
• 23-hour overnight/extended stay capabilities (the only ASC in Southern Utah with this feature)
• Competitive pricing and excellent customer service

In summary, hysteroscopy with D&C is a valuable diagnostic and treatment procedure that can help address a variety of uterine issues. By understanding the details of the procedure, the pre-and post-op considerations, and the potential risks, patients can be better prepared to make informed decisions about their healthcare.

Hysteroscopy with D&C – St. George Surgical Center

D&C (Dilation and Curettage) with Hysteroscopy are procedures that are performed together, these procedures are used to: Diagnose or treat abnormal bleeding from the uterus, such as heavy or long menstrual periods or bleeding between periods Remove polyps or fibroid Find out whether a woman has cancer of the uterus.

Before the Procedure

Always tell your health care provider or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

During the days before the surgery:

• You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
• Ask your health care provider which drugs you should still take on the day of your surgery.

On the day of your surgery:

• You very often will be asked not to drink or eat anything for 6 – 12 hours before the surgery.
• Take the drugs your health care provider told you to take with a small sip of water.

Your health care provider or nurse will tell you when to arrive at the hospital

D&C with Hysteroscopy Procedure

Dilation of the cervix will be the first step of the surgery. The doctor will grasp the cervix with a clamp and pass a thin, flexible piece of metal also known as a sound to determine the depth and angle of your uterus. The cervix will be dilated and a hysteroscope will be inserted into the uterus so the doctor can look inside the uterus.

The entire procedure should take 20 to 30 minutes.

After the D&C Hysteroscopy Procedure

• The recovery time is generally short following a D&C Hysteroscopy Procedure. Cramps, similar to menstrual cramps, will probably be the patient’s strongest sensation immediately after a D&C Hysteroscopy. Although most women experience cramps for less than an hour, some women may have cramps for a day or more.
• The patient may also have some light bleeding for several days.
• The patient will most likely be placed in the recovery room immediately after the procedure. Most hospitals and outpatient clinics will keep the patient for an hour or until she is fully awake. The patient will need to arrange for a ride home.
• It is suggested that the patient not drive for at least 24 hours after anesthesia. This is recommended even after a sedative/local anesthesia because side effects of these drugs can temporarily impair the coordination and response time.

Risks of the procedure

As with any surgical procedure, complications may occur. Some possible complications of D&C with Hysteroscopy may include, but are not limited to, the following:

• Infection
• Bleeding
• Pelvic inflammatory disease
• Perforation of the uterus (rare) or damage to the cervix
• Complications from fluid or gas used to expand the uterus

You may experience slight vaginal bleeding and cramps for a day or two after the procedure. There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure.

Certain factors or conditions may interfere with a hysteroscopy. These factors include, but are not limited to, the following:

• Pelvic inflammatory disease
• Vaginal discharge
• Inflamed cervix
• Distended bladder

Procedure Cost: $3,295.00

CPT 58120, 58555

About St George Surgical Center

HIGHLIGHTS:

Located in sunny St. George, in southern Utah, SGSC is a multi-specialty surgical facility, physician-owned and operated.

• • Board Certified Surgeon & Anesthesia Providers
• • Prestigious AAAHC Accreditation
• • Medicare Certified
• • 99.6% patient satisfaction rate
• • Extremely low infection rate, 0.037%(Natl Avg 2.6%)
• • 11,000 sq ft with 4 state-of-the-art surgery suites
• • 23-hour Overnight/Extended Stay facility (the only ASC in Southern Utah with overnight capabilities)

Competitive pricing and excellent customer service for our valued patients and their families.

 
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Post-operative instructions

Hysteroscopy Procedure

A hysteroscopy is a common procedure that allows the doctor to visualize the uterine canal and uterus with an endoscope. It is often used to diagnose and treat abnormal uterine bleeding. During the procedure the doctor inspects the pelvic area for any abnormal changes. A D&C (Dilation & Curettage) may or may not be performed at this time. A D&C is performed by introducing dilators through the vagina into the cervical canal and scraping of the uterus with a curette to remove substances, including blood.

Effects of Anesthesia:

You may feel somewhat dizzy or sleepy after surgery due to the side effects of the anesthesia. General or Intravenous anesthesia agents can remain in your body for up to 24 hours. It is advised not to operate heavy machinery, drive a motor vehicle, consume alcohol, or make any important business decisions for the next 24 hours. Try to rest for the remainder of the day.

What to expect post-surgery

Light spotting and staining is expected for up to ten days after surgery. Use a sanitary pad during this time and change it regularly. DO NOT use tampons for one week. If you experience heavy bleeding with large clots, call your doctor’s office.

Pain Management

After D&C patients tend to experience some discomfort such as cramping and/or pain. This is normal. Your doctor may recommend non-steroidal anti-inflammatory drugs (NSAIDs) such as Motrin or Ibuprofen to manage your pain. However your doctor may prescribe a pain medication, based on the situation, which should be taken as directed.

Activity

Patients usually return to their normal activity within a day or two. Women should refrain from sexual intercourse or using a tampon for at least seven days or until your post-op visit with your doctor. Douches should also be avoided for at least two weeks after surgery to reduce likelihood of infection.

Bathing/Swimming

You may shower when you feel comfortable. It is recommended that you not swim or soak in a hot tub or bathtub for two to four weeks. This is to prevent anything from entering the vagina, which may cause an infection.