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A speculum is inserted into the vagina to clear an opening so that the cervical ostium can be localized and cleansed. A sterile saline flushed catheter is advanced through the cervical ostium into the cervical canal, where its balloon tip is inflated to hold the catheter in place. The vaginal probe can now be inserted while a sterile saline filled syringe is attached to the catheter. The saline is pushed through the syringe and through the catheter while the transducer moves from left to right or cornua to cornua. Once this is complete an axial view must be provided from the endocervical canal to the uterine fundus. It is sometimes difficult to distend the endocervical canal which makes it difficult to image. There really are not any complications following this procedure, but there are cases of incomplete studies due to the cervical stenosis (Elsayes, Pandya, Platt, & Bude, 2008).
The main goal of this procedure is to determine if the uterine cavity is normal or abnormal. This examination is not able to provide an exact diagnosis. The authors stated, “Polyps can look like fibroids and vice versa. Foci of endometrial carcinoma can be present in a lesion that looks like a polyp or
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It is a minimally invasive procedure used to relieve symptoms of fibroids. MRI offers thermal monitoring capabilities as well as the ability to image the pelvic area. The focused ultrasound uses two ways to treat the fibroids which are thermal heating and non-thermal cavitation. Non-thermal cavitation is the process of water vapor expanding and the bursting which in return releases shockwaves. Since this procedure is minimally invasive the patient only requires a bladder catheter and an intravenous line for sedation and to administer post-procedural contrast to check the success of the procedure (Hesley, Gorny, & Woodrum,

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