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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Sonohysterogram Indicate?

PRE/POSTOPERATIVE DIAGNOSIS: Postmenopausal bleeding with probable polyp seen on saline sonohysterogram. OPERATIVE FINDINGS: Endometrial polyp seen arising from the left cornual region. Otherwise, benign uterine cavity. PROCEDURE: The patient was taken to the operating room and a general anesthetic was administered. The patient was then prepped and draped in the usual manner in lithotomy position and the bladder was emptied with a straight catheter. A weighted speculum was placed to allow for visualization of the cervix, which was grasped anteriorly using single toothed tenaculum. The uterus was then sounded to 9 cm in depth. The cervix was dilated to allow for insertion of the diagnostic hysteroscope. The uterine cavity was then inspected. Immediately apparent was a polyp arising from the left cornual region. Remainder of uterine cavity was inspected and appeared to be benign. Minimal endometrial tissue was otherwise present. At this point then, the hysteroscope was removed and polyp forceps was placed within the uterus. Attempt was made to grasp the polyp but this could not be grabbed with the polyp forceps. Therefore, a sharp curet was used and the polyp was thereby obtained and removed. A small amount of endometrial tissue was also obtained by curettage. Once this had been completed, the hysteroscope was reinserted and the cavity was re-inspected. It was confirmed that the polyp was removed. Otherwise, the endometrial canal then appeared normal. At this point, the procedure was terminated. Tenaculum was removed and good hemostasis was ensured at the cervix. The patient tolerated this procedure well. There were no complications. Fluid in was 325 cc and was equal to fluid out at the end of the procedure. Estimated blood loss was minimal. confused on where to find the cpt code - should I be looking under polypectomy or hysterectomy?
Mon, 11 Aug 2014
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Hematologist 's  Response
Hi, your finding of hysteroscopy is polyp. Rest of your uterus is normal. So that they try to remove it by forceps but not succeed so they tried curattage. By that they remobed your polyp. So you are going for polyp removal only. Not for hysterectomy. After that no polyp in your uterus. You are ok now.
hope i have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
wish you a very good health.
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What Does This Sonohysterogram Indicate?

Hi, your finding of hysteroscopy is polyp. Rest of your uterus is normal. So that they try to remove it by forceps but not succeed so they tried curattage. By that they remobed your polyp. So you are going for polyp removal only. Not for hysterectomy. After that no polyp in your uterus. You are ok now. hope i have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. wish you a very good health.