Is uterine adhesion a minor surgical procedure?

Intrauterine adhesions (IUA), also known as Asherman’s syndrome, is a condition characterized by partial or complete occlusion of the uterine cavity resulting from endometrial injury. It is most commonly caused by mechanical factors such as intrauterine procedures.

Hysteroscopic surgery for intrauterine adhesions is considered a minor surgical procedure.

Hysteroscopic surgery refers to minimally invasive surgery performed using a hysteroscope—a state-of-the-art device used for both diagnosis and treatment of intrauterine pathologies. It enables clear visualization of various intrauterine anatomical changes, facilitating accurate diagnosis.

Using hysteroscopy, clinicians can directly visualize intrauterine lesions, precisely obtain targeted tissue biopsies for pathological examination, and achieve accurate, timely, comprehensive, and intuitive diagnosis—including early detection of malignancies. Hysteroscopic tubal cannulation allows assessment of tubal patency and effective recanalization of proximal (interstitial) tubal obstruction. Furthermore, hysteroscopic resection of endometrial tissue, submucosal myomas, endometrial polyps, uterine septa, intrauterine adhesions, and removal of intrauterine foreign bodies offers excellent therapeutic outcomes—without laparotomy, with minimal trauma, reduced blood loss, less pain, and rapid recovery.

Preoperative evaluations include infectious disease screening (hepatitis B surface antigen, HIV, HCV, RPR), liver function tests (basic panel), renal function tests, electrocardiogram (ECG), routine blood and urine tests, coagulation profile (four parameters), and vaginal discharge examination.

Hysteroscopic surgery is optimally scheduled between days 3 and 7 after cessation of menstruation. Sexual intercourse should be avoided for three days before menstruation ends or prior to surgery. Mild bladder distension before surgery is recommended to facilitate intraoperative ultrasound monitoring.