425: Office Intrauterine Surgery: Optimizing the Patient Experience

Monday, November 16, 2026
11:30 am - 12:30 pm

Room: RM302

Chairs: Tanvir Singh

Faculty: Tanvir Singh, Malcolm G. Munro, Attilio Di Spiezio Sardo

Description: Reproductive surgery, including office diagnostic and operative hysteroscopy, fertility-preserving interventions, and endometriosis/adenomyosis surgery is increasingly performed in ambulatory settings. While surgical techniques have advanced, pain control remains one of the most influential determinants of a woman's overall experience, emotional wellbeing, and perception of autonomy in her care journey. Women undergoing these procedures often face heightened vulnerability to one or more of the various causes and contributors to chronic pain including endometriosis or adenomyosis, myofascial pain, and a host of other conditions. Frequently the pain is also contributed to by infertility-related stress, central sensitisation, or prior negative healthcare encounters. These same women frequently report that their pain, anxiety, and concerns were not fully acknowledged—highlighting gaps in communication, counselling, and access to equitable, patient-centred analgesia. This course bridges these gaps by providing a multimodal, empowerment-focused framework for pain management in reproductive surgery. This course provides a structured framework to perform office hysteroscopic surgery safely, reproducibly, and with optimized patient comfort in awake women.

Learning Objectives: At the end of this course, the participant will be able to:

1. Stratification of patients for office or OR;
2. Apply evidence-based analgesia & anxiolytics for pain prevention; and
3. Perform low pain surgical techniques for diagnostic and operative office hysteroscopy & Manage difficult scenarios.

COURSE OUTLINE

11:30 AM Welcome, Introduction and Course Overview

T. Singh

11:35 AM When Routine Isn't Routine: Managing Pain In Special Instances and Vulnerable Patients

T. Singh

11:50 AM Basics of uterine neuroanatomy & Anesthesia Principles

M. Munro

12:05 PM Becoming a " Low-Pain Surgeon (Instrumentation & Technique )

A. Di Spiezio Sardo

12:20 PM Discussion Questions & Answers

12:30 PM Adjourn