In-Office Intrauterine Hysteroscopic Surgery under Local Anesthesia
In-office intrauterine hysteroscopic surgery under local anesthesia, with the new Karl Storz TelePack system. Advanced visualization.
We are excited to announce the acquisition of our new Karl Storz TelePack system — from a global leader in minimally invasive gynecologic surgery — allowing supreme visualization of the endometrial and uterine cavity. This development extends our decade-long experience in intrauterine and hysteroscopic surgery to include more precise techniques in advanced intrauterine surgery in the office under local anesthesia, furthering our mission of providing individualized and integrative multi-specialized minimally invasive treatment options to our patients. Increased precision further minimizes tissue manipulation, reduces the time of surgery, and reduces the risk of adhesion formation.
Advanced, in-office hysteroscopic surgical care, under local anesthesia
Currently, almost all submucosal uterine fibroids are treated hysteroscopically under IV sedation or other forms of general anesthesia — most often in ambulatory surgery centers/hospitals. Further advancing in-office intrauterine surgery under local anesthesia now permits in-office hysteroscopic treatment of a wide range of conditions.
Our goal is not only successful removal of the lesion, but the prevention of recurrence of the lesions and the enhancement of reproductive outcomes when desired and possible.
Real-time imaging at your visit. We conduct ultrasound in the office at the time of your appointment, allowing for an effective, immediate, informed discussion based on real-time, high-quality imaging.
Conditions we can treat hysteroscopically
- Endometrial & uterine polyps
- Other proliferative processes
- Submucosal / intrauterine fibroids
- Cystic adenomyoma
- Uterine synechiae & scar formation
- Inflammation of the uterine C-section scar
- Retained IUDs
- Uterine septum
- Mild T-shaped uterus
Choosing the right setting for your care
Some conditions are best treated on an outpatient surgery basis under general anesthesia — including larger intrauterine fibroids, severe synechiae (such as Asherman syndrome), and highly vascular septa.
We are able to assess your candidacy for in-office surgery versus outpatient surgery during your first appointment at the office — by considering your history, your symptoms, and real-time ultrasound imaging to recommend the safest, most effective path for you.
Precise, tissue-protective, deeply individualized
Our specialized experience in minimally invasive gynecologic surgery is combined with decades of studying, publishing, and presenting at international and global conferences — research with a focus on the mechanisms behind the development of gynecologic disease, the ways in which disease can be predicted and often prevented, and precise, tissue-protective surgical techniques. Applying this knowledge in our practice allows us to form detailed, individualized strategies for the treatment of every woman who comes to us, and for the protection of her gynecologic health.
At your first appointment, we assess the various factors that may be involved in causing pathology, look at the biological mechanisms that are likely to support such pathology on a continuous basis, and select the best short- and long-term strategy for treating this pathology with special consideration of your reproductive and other gynecologic goals.
We are trusted by many physicians — including those involved in women's health — as well as by the families and friends of our patients. It is our honor to welcome you to our practice.
Please note Academia accepts various insurance plans and communicates directly with referring physicians.
Discuss your options with Dr. Stepanian
We'll assess your condition with real-time in-office ultrasound and recommend the right approach — in-office under local anesthesia, or outpatient when that's the safer path.