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Laser And Resectoscopic Endometrial Ablation


Laser And Resectoscopic Endometrial Ablation (Inpatient Care) Care Guide

  • Laser and resectoscopic endometrial ablation (EA) is a procedure to destroy the lining of your uterus (womb). Your uterine lining is also called the endometrium. During your monthly period, your uterus sheds its lining along with blood and mucus. You may need EA if you have very heavy vaginal bleeding during your monthly period. An EA also may help stop heavy vaginal bleeding caused by a uterine polyp or myoma (lump).

  • During an EA procedure, your caregiver uses a tool called a resectoscope to help see inside your uterus. Your caregiver will put a heating device through the scope to destroy your uterine lining. This device may be a loop or metal rollerball that can be heated using an electric current. A laser also may be used to destroy the lining of your uterus. Having this procedure may decrease abdominal (stomach) pain and cramping during your period. The amount you bleed during your period may be decreased. In some cases, after your procedure, you may not have a period at all.


You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.


  • During your procedure, you may get a tissue burn from the electrical current that is used. You may have damage to your cervix, uterus, or nearby organs such as your bowels. After your procedure, you may have abdominal pain. You may have worse abdominal pain if you have had your fallopian tubes tied to prevent pregnancy. You may have nausea (upset stomach), vomiting (throwing up), and abdominal cramping. You also may have vaginal discharge and bleeding after the procedure. A blockage may form causing blood to pool inside your uterus. You may get an infection in your vagina, urinary tract, or uterus. Your infection may lead to sepsis, which is a blood infection, and may be life-threatening.

  • After the procedure there may be a higher risk of getting a blood clot in your leg or arm. This can cause pain and swelling, and it can stop blood from flowing where it needs to go in your body. The blood clot can break loose and travel to your lungs. A blood clot in your lungs can cause chest pain and trouble breathing. This problem can be life-threatening.

  • Your body may absorb (take up) too much of the fluid used to widen your uterus. This may cause too much water to collect inside your body and decrease needed body chemicals. This may cause brain swelling and damage, and you may die. Without this procedure, you may continue to have heavy bleeding during your monthly period. Heavy bleeding may cause anemia (low red blood cell count), dizziness, and a feeling of constant tiredness. Talk to your caregiver about any questions or concerns you have about the procedure.


Before your procedure:

  • Informed consent: You have the right to understand your health condition in words that you know. You should be told what tests, treatments, or procedures may be done to treat your condition. Your doctor should also tell you about the risks and benefits of each treatment. You may be asked to sign a consent form that gives caregivers permission to do certain tests, treatments, or procedures. If you are unable to give your consent, someone who has permission can sign this form for you. A consent form is a legal piece of paper that tells exactly what will be done to you. Before giving your consent, make sure all your questions have been answered so that you understand what may happen. If you have questions or concerns about having children after EA, talk to your caregiver.

  • IV: An IV is a tube placed in your vein for giving medicine or liquids. This tube is capped or connected to tubing and liquid.

  • Vital signs: Your vital signs will be checked before, during, and after your procedure. This includes taking your temperature, blood pressure, pulse (counting your heartbeat), and respirations (counting your breaths). To take your blood pressure, a cuff is put on your arm and tightened. The cuff is attached to a machine which gives your blood pressure reading. Caregivers may listen to your heart and lungs by using a stethoscope. Your vital signs are taken so caregivers can see how you are doing.

  • Pulse oximeter: A pulse oximeter is a machine that tells how much oxygen is in your blood. A cord with a clip or sticky strip is placed on your ear, finger, or toe. The other end of the cord is hooked to a machine. Caregivers use this machine to see if you need more oxygen.

  • Pre-op care: You will be taken to the room where your procedure will be done. You will be placed on a table with your knees bent and feet in special holders. Your caregiver may put medicine into your vagina to soften your cervix. This is done to prevent tears as the scope is passed through the opening of the cervix. You also may be given the following medicine:

    • Antibiotics: Antibiotics may be given before and during your procedure to prevent an infection caused by germs called bacteria.

    • Sedative: A sedative medicine may be given to help you stay calm and relaxed.

  • Anesthesia: This is medicine to keep you calm and free from pain during your procedure. Caregivers will work with you to decide which anesthesia is best for you.

    • General anesthesia: This is medicine that may be given in your IV or as a gas that you breathe. You may wear a face mask or have a tube placed in your mouth and throat. This tube is called an endotracheal (ET) tube. Usually you are asleep before caregivers put the tube into your throat. The ET tube is usually removed before you wake up. You are completely asleep and free from pain during procedure.

    • Local anesthesia: You will be given numbing medicine into your cervix and uterus. With local anesthesia, you will be awake during the procedure. You may still feel pressure or pushing during your procedure but you should not feel any pain.

    • Monitored anesthesia: This medicine is given through your IV and helps keep you comfortable, relaxed, and drowsy during the procedure.

    • Regional anesthesia: Medicine is injected to numb the body area where the surgery or procedure will be done. You will remain awake during the surgery or procedure.

During your procedure:

A special tool may be put into your vagina to help widen the opening of your cervix. The scope will be put into your uterus through your vagina and cervix. Your uterus will be filled with a special fluid to widen it. A heated loop, small metal rollerball, or laser will be put through the scope and into your uterus. The heated loop will cut and remove your uterine lining in strips while flushing the area with fluid. The rollerball will be moved around your uterine lining while electrical energy destroys it. The laser works to destroy the lining of your uterus with a high-energy beam. Your caregiver may then put medicine into your uterus that helps decrease the amount of fluid you absorb. The scope will then be removed from your uterus and vagina.

After your procedure:

You will be taken to a room where you will rest until you are fully awake. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are not having any problems, you may be able to go home. If you are staying in the hospital, you will be taken back to your room.

  • Medicine:

    • Pain medicine: Caregivers may give you medicine to take away or decrease your pain. Medicine may be given regularly, or may only be given if you ask caregivers for it. Tell caregivers if your pain does not decrease enough for you to feel better. Do not wait until the pain is very bad to ask for your pain medicine. The medicine may not work as well at controlling your pain if you wait too long to take it. Ask your caregiver for help getting out of bed if you feel tired or dizzy.

    • Antinausea medicine: This medicine may be given to calm your stomach and control vomiting.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.