FAQ

Will my patient experience postoperative bleeding from a TRUCLEAR procedure?

Can I pre-treat to minimize bleeding during the procedure?

How does the size of the myoma affect procedure time?

Will a polypectomy help infertility?

Will a myomectomy help infertility?

Do I have to use the Hysteroscopic Fluid Management System for a TRUCLEAR procedure, or can I use the one I already have?

Can I use the TRUCLEAR Tissue Removal Devices with my current hysteroscope?

Q:  Will my patient experience postoperative bleeding from a TRUCLEAR hysteroscopic procedure?
A: Typically, the bleeding from the TRUCLEAR System is similar, or less, than that of a resectoscope.   Post procedure contraction of the uterus stops the most significant of bleeding.
   
Q: Can I pre-treat to minimize bleeding during the procedure?
A: There are ways to pre-treat to reduce procedural bleeding. Some surgeons inject Vasopressin intracervically to reduce blood loss and fluid intravasation. Continuous flow during the procedure keeps your visualization clear; intrauterine pressure can be increased using the fluid management system to help tamponade any oozing.
   
Q: How does the size of the myoma affect procedure time?
A: As the diameter of a myoma increases, volume increases cubically, therefore increasing operating time. Surgeons should be aware of this dynamic and plan accordingly for overall procedure time.
   
Q: Will a polypectomy help infertility?
A: The removal of polyps may aid in fertility. Polyps have been implicated as a cause of infertility, either by physically interfering with blastocyst implantation or by altering the development of secretory phase endometrium.*
   
Q: Will a myomectomy help infertility?
A: The removal of myomas may aid in fertility. According to literature, between 30-70% of patients become pregnant after a hysteroscopic myomectomy, averaging 55%.*
   
Q: Do I have to use the Hysteroscopic Fluid Management System for a TRUCLEAR procedure, or can I use the one I already have?
A: Smith & Nephew recommends the use of its fluid management system in order to optimize visualization and distention, however the TRUCLEAR System is compatible with other fluid management systems. 
   
Q: Can I use the TRUCLEAR Tissue Removal Devices with my current hysteroscope?
A: The TRUCLEAR Tissue Removal Devices are designed for use with the TRUCLEAR Operative Hysteroscope, and cannot be used with other scopes.

*Diagnostic and Operative Hysteroscopy. T Perez-Medina, E Cayuela Font 2007. p.130