Cystoscopy - Bladder Investigation

No waiting lists
Longer consultations
No NHS referral needed
From £225

What is a private hysteroscopy screen?

Pall Mall Medical offers a private hysteroscopy screening to help diagnose the cause of heavy menstrual bleeding (heavy periods) or gynaecological issues such as recurrent miscarriages, unusual bleeding or discharge. These issues can seriously affect quality of life, both physically and emotionally. This advanced diagnostic test takes place within the comfort of our CQC-certified private patient facilities combined with the gold standard of care from our highly experienced private Consultant Gynaecologists. The Hysteroscopy screening is an advanced technique that uses a narrow telescope with a light and camera at the end to examine the inside of the womb, passed through the vagina. Around a quarter of women are affected by heavy bleeding and 1 in 20 women aged between 30-49 in the UK need to visit their GP due to heavy menstrual bleeding. A hysteroscopy is now recommended under NICE guidelines as the first-line test for women experiencing these issues, instead of having a pelvic ultrasound scan which gives a less accurate diagnosis. The screening should help ensure women with underlying conditions such as fibroids and polyps, endometrial diseases or other gynaecological conditions are more effectively diagnosed. It can also be used to help find the cause of infertility.

What can a hysteroscopy diagnose?

A hysteroscopy is typically used when an individual is suffering from heavy periods and is trying to find an underlying cause such as:

Polycystic ovary syndrome (PCOS)
Pelvic inflammatory disease (PID)
Fibroids - non-cancerous growths that develop in or around the womb
Adenomyosis - when tissue from the womb lining becomes embedded in the wall of the womb
Endometriosis
An underactive thyroid gland (hypothyroidism)
Cervical or endometrial polyps
Blood-clotting disorders
Cancer of the womb (this is relatively rare)

what is the difference between a diagnostic and an operation hysteroscopy?

During a hysteroscopy, a telescope on the end of a very thin tube is passed up the vagina and through the cervix where it’s used to take images of the inside of the womb. If the procedure is for diagnostic purposes, then the surgeon will simply move the telescope around the womb to look for issues that could be causing a patient’s symptoms. In most cases, diagnostic hysteroscopy is done without anaesthetic, but in some cases, a local anaesthetic may be used.

A consultant will use an operative hysteroscopy to treat a gynaecological problem that has already been identified, either by a previous hysteroscopy or by ultrasound. When this is the case the procedure will be completed under general anaesthetic and you will usually be able to go home later the same day.

What happens during a hysteroscopy?

In many ways, a hysteroscopy is similar to a smear test in that you will be asked to lie down and place your feet in stirrups before your doctor uses a speculum to open your cervix.

The doctor will then clean the area with antiseptic before passing the hysteroscope up into the womb. Once in place, the tiny hysteroscope camera will take pictures of the womb which the doctor will be able to view on a TV screen and use these to make a diagnosis. There are very few side effects to this procedure; in both the diagnostic and operational procedures, gas is passed into the womb to inflate the area so the doctor can see more clearly.

This can sometimes cause cramping which should last no longer than a couple of hours. In operational procedures, there may be some light bleeding after the surgery and you will need to leave some time to recover from the effects of the general anaesthetic.

A consultation with a consultant who performs this procedure is required in the first instance, who will then arrange the procedure at one of our locations.

How much does a cystoscopy cost?

Urology Consultation

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Cystoscopy

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*Any clinical services taken during the appointment will incur additional fees including testing, referral letters and prescriptions.

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