Operative Hysteroscopy in Nairobi — with Prof. Rafique Parkar
Removing polyps, submucous fibroids, septae and adhesions through the cervix. Operative hysteroscopy treats intrauterine pathology using miniature instruments passed alongside the telescope — preserving the uterus and, critically, fertility.
Understanding operative hysteroscopy
Operative hysteroscopy treats intrauterine pathology using miniature instruments passed alongside the telescope — preserving the uterus and, critically, fertility.
A resectoscope or mechanical morcellator removes the abnormality under direct vision while the cavity is continuously irrigated. Anatomy is restored in a single sitting wherever possible.
Symptoms
When to seek expert care
- Endometrial polyps
- Submucous fibroids
- Uterine septum
- Intrauterine adhesions (Asherman's)
- Retained products of conception
- Heavy menstrual bleeding
Causes
What we currently understand
- Hormonal imbalance affecting the uterus, ovaries or endometrium
- Previous pelvic surgery, infection or inflammation
- Structural change within the uterus, tubes or ovaries
- Genetic and family predisposition
- Age-related and reproductive-stage changes
- In some cases, no single identifiable cause
Risk Factors
Who is most affected
- Family history of gynecologic disease
- Previous pelvic or abdominal surgery
- Untreated pelvic infection
- Delayed diagnosis of pelvic pain or abnormal bleeding
- Endometriosis or fibroids already diagnosed
- Obesity and metabolic factors
Diagnosis
A careful, layered workup
- Detailed history and pelvic examination
- Transvaginal and abdominal ultrasound
- Saline infusion sonography where indicated
- Blood tests including hormonal and tumour markers where relevant
- Diagnostic hysteroscopy with directed biopsy
- Fertility assessment when pregnancy is planned
A tailored plan — not a template.
Every option is discussed openly with you, with the risks, benefits and alternatives laid out clearly.
Diagnostic Hysteroscopy
A scar-free assessment of the uterine cavity and its lining.
Operative Hysteroscopy
Removing polyps, submucous fibroids, septae and adhesions through the cervix.
Small incisions. Real recovery.
Prof. Parkar pioneered laparoscopic gynecology in East Africa. Advanced keyhole and hysteroscopic techniques mean less pain, minimal scarring, and a faster return to life.
Discuss Your Options- No external incisions — access is through the natural cervical passage.
- Usually performed as a day-case or with a single overnight stay.
- High-definition optics magnify the surgical field for precise, tissue-sparing work.
- Fertility and ovarian reserve are protected wherever it is safe to do so.
Recovery
What to expect after treatment
- Home the same day.
- Most women resume normal routine within 24–72 hours.
Why patients choose this approach.
A trusted name in African gynecology.
25+ Years of Pioneering Work
Prof. Parkar introduced laparoscopic gynecology to East Africa and continues to train surgeons across the continent.
FRCOG · EBS Board Certified
International qualifications and continuous participation in world-leading gynecology bodies.
Personal, Unhurried Care
Every consultation is private, thorough and explained in plain language — never rushed.
Complete Multidisciplinary Team
Anesthesia, imaging, fertility and, when needed, oncology colleagues working as one team.
Questions about operative hysteroscopy
Speak to Prof. Parkar today.
Choose a time that works for you — online or in-person at Aster Healthcare, 3rd Parklands Avenue, Nairobi. Same-day responses and full pre-consultation guidance.