64 years old, 14 years post-menopause. Cervical stenosis preventing office hysteroscopy. Surgical hysteroscopy suggested due to mild, rare, but intermittent pale pink spotting (5-6 times over past 18 months-2 years), minimal amount of fluid in the endometrial cavity, recent (5-6 months) intermittent sharp twinges or pangs in left abdomen 1/2 way below top of hip bone ridge.
July 2002 uterus 6.1 x 2.2 x 3.4 cm, 4mm endrometrial stripe, 5.1 x 4.14 x 4.3 cm simple left ovarian cyst patient has opted to wait and watch. 0.3 x 0.5 cm calcified uterine fibroid.
September 2005 uterus is 7 cm x 1.8 cm x 4.5 cm, endometrial stripe is 3 mm, small amount of intrauterine fluid still identified. Simple cyst now 7 cm x 6 cm.
25 Aug 2006 pelvic & transvaginal ultrasound report not yet available, however endometrial fluid did appear to be about 3 ?? in volume.
Patient avoids sedation/anesthesia due to not knowing what is going on and having no say or control during surgery/procedure & nightmares for several days after having either.
HOW is the cervix dilated for this procedure? Can this procedure be done w/epidural AND no sedation so patient is awake, alert and aware? Does the hysteroscope allow for visuals on a monitor that can be turned so patient can watch and see (as for a colonoscopy)? How much risk is there to bladder, urethra, ureters and intestine w/cervical dilation and surgical hysteroscopy? How long does bleeding usually occur after this procedure? How long is script pain control usually needed after surgical hysteroscopy w/cervical dilation due to stenosis?