Cystoscopy with hydrodistension for Interstitial Cystitis

Interstitial cystitis (IC) is also known as Painful Bladder Syndrome or Bladder Pain Syndrome. IC can be ulcerative or nonulcerative. The non-ulcerative version of IC is far more common and consists of severe pain involving the bladder and small hemorrhages in the bladder wall.

Ulcerative cystitis, on the other hand, involves extreme bladder pain alongside visible ulcers or red bleeding areas on the bladder wall.
IC is a very painful condition coupled with the urgency to urinate and feeling constant pressure. Bladder trauma, infections, and autoimmune disorders can all lead to IC. Interstitial cystitis is difficult to diagnose because of the variability of its symptoms. A good way to diagnose IC is through cystoscopy with hydrodistention.

Cystoscopy with hydrodistention is a surgical procedure which will require you to go under anesthesia because it can be quite painful. The doctor will insert a cystoscope inside your urethra to check if there are any lesions or ulcers inside. Your doctor will then fill your bladder with fluid (or hydrodistend your bladder) to keep it open for longer and to get a better view of the inside. The cystoscope can also be used to get a sample of your bladder in order to test for cancer.

Cystoscopy with hydrodistention is also used as therapy due to the fact that a significant portion of patients feel a relief of their symptoms after the procedure.

Endometriosis Excisional Therapy

Endometriosis occurs when the endometrium, or inner lining of the uterus, begins to grow in other areas outside the uterus. The problem with this is that endometrial cells shed and are lost through bleeding every menstrual cycle. The endometrial cells that grow outside the uterus shed as well but they have nowhere to escape to and this can cause serious problems such as pain and infertility.

Linear Salpingostomy for Ectopic Pregnancy

The tubes are opened in order to correct a problem or remove an obstruction such as an ectopic pregnancy.

Ovary and Tubal Repair Surgery

Ovary and tubal repair surgery are also known as adnexal surgeries and generally use minimally invasive techniques. Ovary and tubal repair surgeries are required when individuals have ovarian cysts, ectopic pregnancies, or even when females want to improve their fertility. There are many different procedures that one can expect to undergo depending on the type and severity of their problem.

Ovarian Cystectomy: Used for removing a cyst in the ovaries. The ovary itself is not removed or altered in any way.

Oophorectomy or Salpingectomy: this constitutes a complete removal of the ovaries or fallopian tubes respectively. This is often a last resort.

Adhesiolysis: Clearing the ovaries of any adhesions in order to reduce pain, cramping, or even to improve fertility.

These procedures are generally laparoscopic. All the above procedures often begin with the administration of an anesthetic right before the incisions are made. After making the incisions, the laparoscope is inserted, and the procedure is carried out accordingly.

Uterine septum removal

Uterine septum removal (also known as hysteroscopic septoplasty) is required to remove a septum from one’s uterus. A normal uterus is not supposed to have a septum. Women who do have a septum in their uterus are born with it and it can create serious infertility issues.

During the hysteroscopic resectioning procedure the surgeon will first put the patient under an anesthetic. After going under anesthesia the cervix will be filled with a saline solution to give the surgeon a better view of the inside.

A hysteroscope will be inserted through the vagina. The hysteroscope has a camera and light which allows the surgeon to see what is going on inside the body. Tools will be inserted through the hysteroscope to cut off the extra septum.

The excess residue will be scraped out as well. At the end of the procedure, the patient will have a normal uterus and have much higher chances of a successful pregnancy.