Keyhole examinations

In the following you can read more about the keyhole examinations offered by Aagaard Gynækologisk Klinik.

KEYHOLE EXAMINATION OF THE CERVIX (COLPOSCOPY)

A keyhole examination of the cervix, sometimes referred to as a colposcopy, is performed if there’s a suspicion of changes in the cervix.

Most changes in cervical cells are detected by family doctors in connection with regular checkups. In about 5% of the smears taken, abnormal cell changes are found. It can be atypical cells or cells with dysplasia, which in rare cases can be the early stages of cancer.  

If the smear shows some atypical cells or cell changes (dysplasia), you’ll need a keyhole examination to allow us take some samples of the tissue in your cervix. 

If our lab finds any atypical cells or mild dysplasia, doing a repeat test after 4-6 months is the safe and sensible thing to do. If you have moderate cell changes and you’re below the age of 37, this will often be enough - very often such changes just disappear, without any treatment.

However, if you are over the age 37 and tests show moderate to severe dysplasia, we advise you to have the affected tissue removed. This is done in a cone biopsy.

There’re no special preparations needed for this examination: the only requirement is that you don’t have your period at the time. We use a colposcopy for the examination, which is a lighted magnifying scope. It allows the specialist to take a closer look at any areas that look a bit suspicious. A little vinegar is used, to make any changes stand out more clearly. We take a sample of the tissue, a biopsy, which is examined in more detail at the Aarhus University Department of Histopathology. Having a colposcopy isn’t painful, and there’re no side- or after-effects. About 14 days later you call the clinic to get the results of the test.

KEYHOLE EXAMINATION OF THE UTERUS (HYSTEROSCOPY)

A keyhole examination of the uterus, sometimes referred to as a hysteroscopy, is performed if there’s suspicion of polyps, fibroids or too strong growth of the lining of your uterus.

The examination lasts 10-15 minutes and you’ll have a local anaesthetic. What happens is that a lighted telescope (hysteroscope) is inserted via the vagina and cervical canal.  You can expect a bit of discomfort after the examination, like period pain. You can also expect light bleeding for a day or two.

KEYHOLE EXAMINATION OF THE PELVIS (LAPAROSCOPY)

A keyhole examination of the pelvis, sometimes referred to as a laparoscopy, is used to get an overall picture of the state of your uterus, fallopian tubes and ovaries. 

The procedure is used to:

  • Remove cysts in the ovaries 
  • Examine passage in the fallopian tubes
  • Recreate passage in the fallopian tubes after sterilisation
  • Remove adhesions in the fallopian tubes
  • Remove blocked fallopian tubes
  • Examine for endometriosis 
  • Surgery for endometriosis
  • Sterilisation
  • Hysterectomy

The examination takes about 30 minutes and you’ll have a general anaesthetic. It’s performed by inserting a thin tube containing a microscope (laparoscope) thorough a small hole next to your belly button. Then some air is blown in, to give a better overall view of your uterus, fallopian tubes and ovaries. Depending on the examination or surgery to be performed, we’ll insert one or more other instruments through small holes in your abdomen.   

If surgery is necessary, a keyhole procedure is often to be preferred because the discomforts are minimal compared to traditional open surgery. There’s less bleeding, less risk of damaging tissue, less risk of adhesions, and less pain.

KEYHOLE EXAMINATION OF THE BLADDER AND URETHRA (CYSTOSCOPY) 

A keyhole examination of the bladder and urethra, sometimes referred to as a cystoscopy, is performed to see if there’re any polyps, protrusions or thickening of the lining of the bladder or any ulcers in the bladder. It’s also used to check the functioning of the valve mechanism between the bladder and the urinary tract.

The examination takes about 15 minutes and you’ll usually need a local anaesthetic. It’s performed by inserting a thin tube with a lighted microscope (cystoscope) into your bladder. At the same time, saline water is injected into the bladder to show it full.

If for example you’re going to have a polyp removed, you’ll have a general anaesthetic. This procedure takes about 30 minutes and, depending on the surgery, we’ll insert various other instruments.