About HYSTERO CYSTOSCOPE

Hystero cystoscope

The term "hystero cystoscope" appears to be a combination of two distinct medical instruments: a hysteroscope and a cystoscope. A hysteroscope is a medical device used to examine the inside of the uterus, typically inserted through the cervix, and is used for both diagnostic and operative procedures such as removing polyps or fibroids. Modern hysteroscopy began in 1967 when Fritz Menken used a pediatric cystoscope for an examination of the womb, and it evolved into a routine technique in the 1970s with the introduction of operative hysteroscopy. Today, hysteroscopy is the preferred method for managing intrauterine pathology, utilizing advanced optics, smaller scope sizes, and safe distending media.

A cystoscope, on the other hand, is an instrument used to examine the bladder and urethra, typically for diagnosing or treating urinary tract conditions. While the term "hystero cystoscope" is not standard, some devices are designed for both gynecological and urological use. For example, certain resectoscopes, like the 2.9mm Bipolar TURP Hysteroscopy Set compatible with Storz equipment, are designed for both monopolar and bipolar resection and can be used in procedures involving the uterus and urethra. These instruments often feature a rotating double sheath system that allows the working element to rotate 360° independently of the outer sheath, providing greater freedom of movement during surgery.

The 8.5 mm Hystero-Resectoscope by Olympus is an example of a modern hysteroscopic instrument designed for precise tissue removal, featuring a Logical-Locking-System (LLS) for easy assembly, a slim 8.5 mm outer sheath with a 194 mm working length, and a lightweight, well-balanced design at 248 grams. It is compatible with OES Elite 4 mm HD telescopes, providing high-definition imaging with excellent resolution. The use of such instruments requires careful monitoring of fluid balance during procedures, with recommended fluid deficit limits of 1000 to 1500 mL for isotonic solutions and 750 mL for hypotonic solutions, especially in older or comorbid patients, to prevent complications from fluid overload.