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D and C
Alternative namesDilatation and curettage; Uterus scraping
DefinitionD and C is a procedure to scrape and collect the tissue (endometrium) from inside the uterus. Dilatation ("D") is a widening of the cervix to allow instruments into the uterus. Curettage ("C") is the scraping of the contents of the uterus.
D and C, also called uterine scraping, is a fairly minor surgical procedure. The procedure may be performed in the hospital or in a clinic using general or local anesthesia.
The vaginal canal is held open by a speculum, and the opening to the uterus ( cervix ) may be anesthetized. The cervical canal is widened using a metal rod, and a curette (a metal loop on the end of a long, thin handle) is passed through the canal into the uterine cavity. The inner layer of the uterus (endometrium) is scraped away, and the tissue is collected for examination.
Uterine scraping (D and C) may be done to:
D and C may be recommended for:
Risks due to anesthesia include:
Risks of any surgery include:
Additional risks include:
Expectations after surgery
D and C has relatively few risks, can provide relief from bleeding, and can help diagnose infection, cancer, infertility, and other diseases.
Normal activities may be resumed as soon as the patient feels well, possibly even the same day. There may be vaginal bleeding, as well as pelvic cramps and back pain for a few days after the procedure.
Pain can usually be managed well with medications. Tampon use is not recommended for a few weeks, and sexual intercourse is not recommended for a few days.
Update Date: 4/14/2004Dominic Marchiano, M.D., Department of Obstetrics & Gynecology, Pennsylvania Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT