My hysteroscopic metroplasty took place last Thursday. I must confess that I had some misgivings about my surgeon… Could he be 100% sure that my fundus is convex based on the sonohysterogram? What if he accidentally perforated my uterus during the metroplasty? Without the help of concurrent laparoscopy, would he stop short of the fundal myometrium, necessitating a second surgery to complete the septum resection? Why didn’t he schedule the surgery during the first half of my menstrual cycle or prescribe a gonadotropin-releasing hormone agonist to thin my endometrial lining prior to the surgery? Just how many septum resections has he done?
I was hoping that these questions would be answered at my pre-op appointment on Wednesday afternoon. Unfortunately, I only met with the nurse practitioner at that appointment. She was able to answer some of my questions, but she was not the surgeon, and she was not present during the sonohysterogram that delineated my unique anatomy.
I suppose I could have quizzed Dr. Clark on his surgical techniques when I saw him before my surgery on Thursday, but it somehow didn’t feel like the best time as I lay on my gurney, dressed in a hospital gown, IV in arm, minutes away from surgery. At that point, I just wanted my doctor to do the surgery as best he knew how. I told him as much, and he chuckled. “My mother used to tell me that, and it always made me laugh. Of course I’m going to do my best! Why would I do any less?”
Oddly, the one thing that did reassure me as I waited to go into surgery was when Dr. Clark confused my case with that of another patient.
We’re going to resect the septum and remove two fibroids, right?
I was not aware of any fibroids.
Dr. Clark apologized, explaining that he had read through the cases of 5 patients the previous evening and confused mine with a very similar case. He was going to operate on the other woman on Friday. I felt reassured that my case was not particularly unique; septum resections really are old-hat for Dr. Clark.
My memory goes blank as I was being wheeled into the OR at 10:45 a.m. I hoped that the surgery would be done by noon as promised. I didn’t want a repeat of my D&C. (The D&C was supposed to take only a few minutes, but after working for 3 hours and recruiting the help of 2 doctors, my OB gave up. I had to spend the night alone in the hospital expelling the products of conception with the help of misoprostol.)
I don’t know what time I woke up, but I felt sick and achy. I rolled to my side and slept some more, unwilling to face the world.
Happily, the metroplasty was done at about noon. Dr. Clark told Son and Peter that the procedure went as predicted. I was left with a Foley catheter in my uterus to help minimize scarring. I knew beforehand that this was a possibility, depending upon how large my septum was. And since my septum was larger than average, I expected the balloon.
What I didn’t expect was the nausea. I thought the hysteroscopy would leave me in a state similar to the D&C – forgetful and weak, but not in much pain. I had no issues with the general anesthesia post-D&C, but this time around, they gave me every antiemetic they could, and I still felt nauseous. At first, it was difficult to distinguish the nausea from the pain associated with the surgery, but the nausea wore off by 4 p.m., leaving only an achy abdomen. The way the nurse practitioner had described the surgery on Wednesday, I didn’t think I would need the pain relievers she prescribed, but when I got home, I was glad to have them.
By 6 p.m., I was feeling fairly good; I was just weak from fasting all day long. Now, 3 days post-op, I’m still slightly achy, and I know better than to take Peter for a long walk in the baby carrier, but 800 mg Ibuprofen is more than sufficient to keep me feeling good.
The Foley catheter is going to be taken out on Wednesday. I’m afraid it will be like reopening an old wound; I hope my imagination is worse than what it will actually be like. I’ll have to wait 2 cycles for another sonohysterogram to verify that the resection was complete. Fingers crossed!
Update: Feeling good. Catheter removal was quick and (nearly) painless.