The Spencer Private Hospital Gynaecology Clinic is fully equipped to provide a full range of diagnostic services, including hysteroscopy and colposcopy. As well as dealing with general gynaecological problems, the clinic offers specialist advice and management of abnormal cervical smears, ovarian cysts and endometriosis.
We have a fully equipped theatre where the full range of minimal access procedures (both hysteroscopic and laparoscopic) can be carried out. Some procedures, such as a hysteroscopy, colposcopy and loop diathermy (Lletz procedure) can be carried out in the specially equipped day surgery/outpatient treatment rooms.
A hysteroscopy is a procedure to look at the inside of the uterus (womb) using a small telescope (hysteroscope) usually following abnormal bleeding. It is common for a biopsy to be performed at the same time (which involves removing a small piece of the lining of the womb). A hysteroscopy is typically used to identify one of the following conditions:
- Fibroids (an overgrowth of the muscle of the womb)
- Polyps (a small skin tag that looks like a small grape on a stalk)
- Endometrial cancer (a malignant growth in the lining of the womb)
- Abnormally-shaped womb (sometimes associated with abnormal uterine bleeding or miscarriages)
A colposcopy involves using a bright light and a microscope to look at your cervix. The preparation is the same as for when you have a cervical smear. During this procedure, a solution of weak acetic acid (vinegar) is used to dab the cervix. This will then show up any abnormal cells as they will change colour. Should any abnormal cells be present, the consultant will be able to identify them and take a small biopsy to send away for further analysis.
A loop diathermy, or Lletz, is a minor procedure usually recommended after an abnormal cervical smear test result. You will need to be prepared in much the same way as for a cervical smear, the difference being that you will be given a local anaesthetic into the cervix at the beginning of the procedure.
The aim of the loop diathermy is to remove the area of cells which are abnormal so that they may be looked at under the microscope for further investigation. The procedure itself takes only a few minutes to perform. In many cases this will be the only treatment that you will need, though you will require follow up colposcopies to make sure that you have healed well and that there is no reoccurrence of abnormal cell growth.