Ultrasound-Guided Hysteroscopy Following Endometrial Ablation

200 Views | Sep 24, 2020

Authors: Sarah Smith, Tina Ngan, Huse Kamencic

Affliations: University of Saskatchewan

This video abstract demonstrates simultaneous use of pelvic ultrasound and hysteroscopy to access an ablated endometrial cavity. Endometrial ablation is commonly used to treat abnormal uterine bleeding. It can cause cervical stenosis and adhesions inside the endometrial cavity creating future challenges in accessing the cavity. Failure of endometrial sampling following endometrial ablation is found to be 23 to 26%. This video demonstrates that ultrasound-guided hysteroscopy on a scarred and distorted endometrial cavity is safe and cost efficient. It facilitates access into the uterine cavity and prevents false passage and uterine perforation.