Curettage

Curettage

A brief surgical procedure performed through the natural passages to empty or sample the contents of the uterine cavity.

What is it?

Curettage is a common gynecological procedure that consists of gently removing the contents, or part of the lining, of the uterine cavity through the natural passages, without any incision. It is performed under anesthesia, most often general and of short duration. Its indications are varied: emptying the uterine cavity after a miscarriage, sampling the uterine lining for diagnostic purposes in the event of abnormal bleeding, or treating certain abnormalities of the lining. The gynecologist explains beforehand the precise purpose of the procedure in each situation. Curettage is generally performed as a day-case procedure: the patient is admitted in the morning, the procedure is brief, and she returns home the same day after a few hours of monitoring. When it is performed in the context of a miscarriage, the team surrounds the patient with particular attentiveness, caring for her physical comfort as much as her emotional well-being. At Clinique Pasteur Tunis, this procedure is performed in the operating theater, under optimal safety conditions, by experienced gynecologists. Any samples taken are sent for analysis and the results are explained at the follow-up consultation.
Curettage

When is it indicated?

Emptying of the uterine cavity after a miscarriage

After a miscarriage, this gentle procedure completely empties the uterus and prevents prolonged bleeding or infection.

Abnormal uterine bleeding requiring investigation

Unusual bleeding deserves to be understood; curettage allows the uterine lining to be sampled for analysis.

Sampling of the uterine lining for diagnostic purposes

Analyzing a sample of the inner wall of the uterus helps the gynecologist reach a precise diagnosis and offer the appropriate treatment.

Retained tissue after a delivery or a miscarriage

When fragments remain in the uterus after a birth or a miscarriage, curettage removes them to allow a good recovery.

Certain abnormalities of the uterine lining

Certain abnormalities of the inner wall of the uterus can be treated with this simple procedure, performed through the natural passages, without any incision.

Preparation

1Pre-anesthesia consultation beforehand
2Fast for 6 hours before the procedure
3Report current medications, particularly anticoagulants
4Arrange for someone to accompany you home

Procedure

1

Admission as a day-case patient

2

General anesthesia of short duration

3

Gentle dilation of the cervix if necessary

4

Delicate curettage of the uterine cavity, sometimes guided by ultrasound

5

Samples sent for analysis if indicated

6

Monitoring for a few hours, then return home

Duration

10 to 20 minutes for the procedure; half a day at the clinic

Aftercare & Recovery

Recovery is generally straightforward: light bleeding may persist for a few days and gradually subsides. Rest is advised on the day itself, with a return to usual activities the next day or the day after. A follow-up consultation checks that recovery is progressing well and reviews the results of any analyses.

Risks and side effects

A brief, common and well-mastered procedure
Light bleeding and mild cramps are possible for a few days
Complications are rare and are prevented by the gentleness of the procedure and post-operative monitoring

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 10 to 20 minutes for the procedure; half a day at the clinic
Preparation: Required
Dedicated specialist team