Adhesions are bands of scar-like tissues that form between two surfaces inside the body and make them stick together. When such bands develop inside the uterus the condition is called Asherman syndrome. Ashermans syndrome is now being increasingly diagnosed due to the use of hysteroscopy.
The scarring can be mild with thin stretchy tissues or severe with thick bands of adhesions causing total destruction of the uterine cavity.
These intrauterine adhesions can be cut or removed using hysteroscopy. This procedure is called hysteroscopic adhesiolysis.
“CPT code for Hysteroscopic adhesiolysis – 58555″
With this procedure, the adhesions are cut using very thin and slender hysteroscopic scissors. Your gynecologist may send the cut tissues for biopsy.
You will be asked to start taking clear liquids 1 hr after the surgery followed by a light diet. You may be asked to walk around after you are out of the sedation.
Once your doctor is sure that you can walk without any giddiness due to anesthesia medicines; you will be discharged.
As with any surgical procedure, there are associated risks and complications which include:
Any specific risks and complications will be discussed with you prior to the procedure.
Q: WHAT IS HYSTEROSCOPIC UTERINE ADHESIOLYSIS?
A: Adhesions are abnormal bands of tissues attaching two otherwise separate normal tissues. Such adhesions may be present inside the uterus, and cutting these adhesions with hysteroscopy using specially designed scissors is called hysteroscopic adhesiolysis.
Q: IS HYSTEROSCOPIC ADHESIOLYSIS SAFE?
A: Yes, it is safe in the hands of an expert as hysteroscopic adhesiolysis is a surgery requiring skill and expertise.
Q: CAN YOU GET PREGNANT AFTER HYSTEROSCOPIC ADHESIOLYSIS?
A: Yes, it is possible to get pregnant after hysteroscopic adhesiolysis provided that the adhesions are not due to a disease like tuberculosis which damages the uterine lining to its depth.
Q: IS HYSTEROSCOPIC ADHESIOLYSIS A MAJOR SURGERY?
A: Yes, it is a major surgery if there are extensive adhesiolysis; but if the adhesions are minimum; it can be done very fast and can be considered minor surgery.
Q: HOW IS THE RECOVERY FOLLOWING HYSTEROSCOPIC ADHESIOLYSIS?
A: You can be discharged the same day following hysteroscopic adhesiolysis and can resume all daily activities following hysteroscopic adhesiolysis.
Q: WHAT IS THE COST OF HYSTEROSCOPIC ADHESIOLYSIS?
A: The cost of hysteroscopic adhesiolysis ranges from 25000 to 60000.
Q: HOW MUCH TIME DOES HYSTEROSCOPIC ADHESIOLYSIS TAKE?
A: It takes 8 to 20 minutes depending upon the severity and the extent of adhesions inside the uterus.
Q: IS HYSTEROSCOPIC ADHESIOLYSIS NECESSARY TO TREAT INFERTILITY?
A: Hysteroscopic adhesiolysis is a necessary step to do if there are adhesions inside the uterus.