Hysteroscopy in Nigeria, cost of hysteroscopy in Nigeria, hysteroscopy price in Nigeria
Hysteroscopy is the endoscopic examination of the uterine cavity through the uterine cervix (mouth of the womb). It a precedure carried out by a trained expert(doctor) to look inside the womb so as to check for any abnormalities (diseases). It improves the chances of a woman getting pregnant.
Hysteroscopy is a form of minimally invasive surgery that is characterized by minimal bleeding and less hospital stay and recovery. It is however very expensive.
Indications – why is hysteroscopy done?
Hysteroscopy is performed on a woman either to make a diagnosis of disease affecting the womb (diagnostic) or the treat a disease affecting the uterus (therapeutic or operative).
Hysteroscopy is usex to make a diagnosis of the following medical conditions…..
➡️abnormal uterine bleeding
➡️post menopausal bleeding
➡️fertility abd recurrent miscarriages
➡️suspected uterine malformation
➡️asherman’s syndrome (Asherman’s syndrome is an acquired condition that refers to the existence of scar tissue in the uterus).
➡️location of a lost intrauterine device (IUCD)
➡️and submucous fibroids
Hysteroscopy can be used operatively in the following scenerios:
➡️retrieval of foreign body e.g.IUCD
➡️adhesiolysis (breakdown of fibrosed tissues blocking the womb)
➡️correction of uterine malformation (metroplasty)
➡️myomectomy or fibroid surgery
➡️Removal of uterine polyps (polypectomy)
➡️biopsy of suspicious lesions for further investigation e.g. histology.
Procedure – How is It Done?
Under appropriate anaesthesia usually general anaesthesia or local paracervical block,you will be placed in lithotomy position. You will then be cleaned and draped before the hysteroscope (a device) is introduced under direct vision, transcervically (via your cervix )into the uterine cavity(womb).
This may be facilitated by the dilatation of the cervix if necessary. With the aid of the appropriate distension medium, the uterine cavity is sytematically inspected and the diagnostic or therapeutic procedure is performed.
The procedure shouldn’t be painful. However, you may experience some cramping during or after the procedure.
Complications of hysteroscopy
Hysteroscopy has some side effects known medically as complications. They include:
➡️damage to the cervix that may lead to cervical incompetence.
➡️Damage to nearby organs like the bladder, bowel, or ovaries
➡️Pelvic inflammatory disease
Hysteroscopy should not be done in the following conditions:
➡️active lower genital tract infections
Cost of Hysteroscopy in Nigeria
The cost of a hysteroscopy in Nigeria ranges between #750,000-#3,000,000 Naira. The cost depends on the extent of the procedure, the surgeon, location and the health facility.
For example, a diagnostic-only procedure is much less than one involving surgery. In the same vein, the price of hysteroscopy in Lagos, Abuja and Port Harcourt is surely going to be more expensive than other cities in Nigeria.
The cost may be higher if you have a more extensive procedure which includes surgery in the hospital and general anesthesia plus blood transfusion. Costs for these extensive procedures can be up to #5,000,000 naira.
Textbook of Obstetrics and Gynaecology by Akin Agboola
Featured Image: John Hopkin’s Medicine