Insertion
The hysteroscope — a slim tube fitted with a light and camera — is gently passed through the vagina and cervix into the uterine cavity.
Hysteroscopic Procedures · Ludhiana, Punjab
Operative Hysteroscopy
A modern, minimally invasive procedure that allows both diagnosis and surgical correction of problems within the uterine cavity — all through the vagina, without any incision on the abdomen. Restoring uterine health, enhancing fertility.
About operative hysteroscopy
Using a thin telescope-like device called a hysteroscope, doctors can see inside the uterus with magnified clarity and use fine instruments to remove fibroids, polyps, adhesions, or correct uterine septa that interfere with fertility. At Dr. Rama Sofat Hospital, our specialists use the latest high-definition hysteroscopic systems and micro-instruments to ensure precision, safety, and fertility preservation.
When operative hysteroscopy is recommended
Operative hysteroscopy is often advised when investigations such as ultrasound, HSG, or diagnostic hysteroscopy reveal:
- Uterine septum or double uterine cavity
- Endometrial or cervical polyps
- Submucous fibroids (fibroids projecting inside the uterus)
- Intrauterine adhesions (Asherman's Syndrome)
- Blockage at the tubal openings (cornual block)
- Retained placental or conception tissue
- Unexplained infertility or recurrent miscarriage
How the procedure is performed
Operative hysteroscopy is typically performed under short general anaesthesia or sedation as a day-care procedure.
Distension
The uterus is filled with sterile saline for better visualisation.
Correction
Through the hysteroscope, miniature instruments are used to remove or correct the detected abnormalities.
Duration
The procedure usually takes 20 to 45 minutes.
Discharge
Most patients can go home the same day and resume normal activities within a day or two.
Types of operative procedures
01 · Septal Resection
Hysteroscopic Septal Resection (Metroplasty)
A uterine septum is a congenital wall of tissue dividing the uterine cavity partially or completely. It can cause recurrent miscarriages, implantation failure, or preterm delivery.
During hysteroscopic septal resection, the septum is visualised directly and cut using micro-scissors or an electrical loop until a single, unified uterine cavity is restored. This precise correction improves the uterine space and significantly increases the chances of a full-term, healthy pregnancy.
Benefits
- No abdominal incision
- Minimal risk of uterine scarring
- High success rate in reducing pregnancy loss
02 · Polypectomy
Hysteroscopic Polypectomy
Endometrial polyps are soft, benign growths arising from the uterine lining that may cause irregular bleeding, spotting, or infertility.
Using a hysteroscope, these polyps are identified and removed with micro-scissors or resectoscope loops, ensuring complete clearance of the uterine cavity. The removed tissue is sent for histopathological examination to confirm diagnosis.
Benefits
- Quick and scar-free procedure
- Immediate improvement in uterine receptivity
- Enhances chances of natural conception and IVF success
03 · Myomectomy
Hysteroscopic Myomectomy
This procedure removes submucous fibroids, which are fibroids projecting into the uterine cavity that may cause heavy bleeding or implantation failure.
A resectoscope — a hysteroscope with an electrical cutting loop — is used to shave off the fibroid layer by layer under direct vision. Fluid distension keeps the cavity open and helps the surgeon operate precisely without damaging surrounding tissue.
Benefits
- Preserves the uterus and fertility
- Minimal blood loss compared to open myomectomy
- Fast recovery with excellent outcomes in fertility improvement
04 · Adhesiolysis
Hysteroscopic Adhesiolysis
Intrauterine adhesions (Asherman's Syndrome) occur when scar tissue forms inside the uterus, often after infections, D&C, or previous surgery.
During hysteroscopic adhesiolysis, the adhesions are carefully cut using fine scissors or energy devices under magnified view, freeing the uterine cavity and restoring normal shape and function. A small intrauterine balloon or oestrogen therapy may be used post-surgery to prevent re-adhesion and promote healthy endometrial regrowth.
Benefits
- Restores normal menstrual flow and uterine shape
- Improves implantation and pregnancy rates
- Minimally invasive with short downtime
05 · Cornual Cannulation
Cornual Cannulation (Hysteroscopic Tubal Recanalisation)
Blockage at the tubal openings (cornua) inside the uterus can lead to infertility. Through hysteroscopy, a fine catheter or guidewire is gently introduced into the tubal openings under direct vision to clear the blockage — restoring tubal patency and natural fertility.
This technique is also a fertility-preserving alternative to traditional abdominal tubal recanalisation.
Benefits
- No external incision
- Restores tubal function naturally
- Suitable for selected cases of proximal tubal block
06 · Retained Products Removal
Removal of Retained Products of Conception
After miscarriage, delivery, or previous surgery, some tissue may remain inside the uterus, causing infection or irregular bleeding.
Hysteroscopic removal ensures complete and targeted clearance of this tissue under direct vision, avoiding the blind scraping of traditional D&C and reducing the risk of uterine injury.
Benefits
- Accurate removal under vision
- Lower risk of scarring or adhesions
- Faster recovery and return of normal cycles
Benefits of operative hysteroscopy
Completely scar-free and minimally invasive
Day-care procedure with quick recovery
Preserves fertility and uterine integrity
Precise correction under direct visualisation
High success rates in restoring fertility and normal uterine anatomy
Minimal discomfort and low complication rates
Role in fertility management
Operative hysteroscopy plays a crucial role in enhancing conception outcomes — both naturally and in IVF. By restoring the normal uterine shape, removing fibroids or adhesions, and correcting septa, the endometrial environment becomes more receptive to embryo implantation.
At Dr. Rama Sofat Hospital, hysteroscopy is performed with advanced technology and decades of expertise to ensure every woman has the best possible chance at a healthy pregnancy.
Recovery & aftercare
- Mild cramping or spotting for 1–2 days is normal
- Most patients resume daily activities within 24 hours
- Intercourse and tampon use are usually avoided for 7–10 days
- A follow-up hysteroscopy or ultrasound may be scheduled in 4–6 weeks
- Hormonal therapy or balloon placement may be advised to maintain uterine healing
Why choose Dr. Rama Sofat Hospital
55+ years of legacy in women's health and fertility care
Highly skilled team of laparoscopic and hysteroscopic surgeons
Equipped with advanced endoscopic systems (4K HD)
Individualised, fertility-preserving surgical approach
Seamless integration with fertility and IVF treatment pathways
Proven track record of success in restoring fertility after hysteroscopic correction
At Dr. Rama Sofat Hospital, every operative hysteroscopy is performed with precision, compassion, and the singular goal of helping women conceive naturally or through IVF with confidence.
Ready to take the next step?
If you have been diagnosed with uterine fibroids, polyps, septum, adhesions, or any condition affecting your fertility, consult our specialists for advanced operative hysteroscopy.
Book your consultation
Consult Dr Amit Sofat & Dr Ruchika Sofat at Dr Rama Sofat Hospital, Ludhiana, for expert operative hysteroscopy and personalised fertility care.