| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Articles |
OBJECTIVE: To evaluate the feasibility and acceptability of outpatient diagnostic hysteroscopy. METHODS: The outcome of 2500 consecutive outpatient hysteroscopies was analyzed. Cervical dilation was performed when necessary and local anesthesia was not administered routinely. Endometrial biopsy and minor hysteroscopic procedures were carried out when indicated. Findings and outcome were compared according to patient characteristics. RESULTS: The most common indication for hysteroscopy was abnormal uterine bleeding (87%). Hysteroscopy was performed successfully in 96.4%, and a complete view of the uterine cavity was obtained in 88.9%. Local anesthesia was used in 29.8% and was associated with the need for cervical dilation; both local anesthetic use and cervical dilation were significantly more often required in nulligravid, nulliparous, and postmenopausal women. Intrauterine pathology was diagnosed in 48%, the highest incidence being found in those 50-60 years old (53.7%). The presence of fibroids was the most common abnormality (24.3%) but was seen in only 6.8% of women older than 60 years. Conversely, the incidence of endometrial polyps increased with age, up to 20.5% in women over 60 years. Endometrial biopsy was performed in 68% and produced adequate tissue for histologic examination in 83.7%. Endometrial hyperplasia or carcinoma was detected in 1%. One hundred sixteen women (4.6%) underwent a minor hysteroscopic procedure. CONCLUSION: Outpatient diagnostic hysteroscopy is both feasible and acceptable in the overwhelming majority of cases, with a high detection rate for intrauterine pathology. This procedure may become as routine in the 21st century as D&C has been in the 20th.
This article has been cited by other articles:
|
|
 |
|
  L. Pal, A. L. Niklaus, M. Kim, S. Pollack, and N. Santoro Heterogeneity in endometrial expression of aromatase in polyp-bearing uteri Hum. Reprod., January 1, 2008; 23(1): 80 - 84. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Guida, A.o Di Spiezi Sardo, G. Acunzo, S. Sparice, S. Bramante, R. Piccoli, G. Bifulco, D. Cirillo, M. Pellicano, and C. Nappi Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study Hum. Reprod., December 1, 2006; 21(12): 3253 - 3257. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sagiv, O. Sadan, M. Boaz, M. Dishi, E. Schechter, and A. Golan A New Approach to Office Hysteroscopy Compared With Traditional Hysteroscopy: A Randomized Controlled Trial Obstet. Gynecol., August 1, 2006; 108(2): 387 - 392. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Al-Hendy and S. Salama Gene therapy and uterine leiomyoma: a review Hum. Reprod. Update, July 1, 2006; 12(4): 385 - 400. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Paschopoulos, A. Kaponis, G. Makrydimas, K. Zikopoulos, Y. Alamanos, P. O'Donovan, and E. Paraskevaidis Selecting distending medium for out-patient hysteroscopy. Does it really matter? Hum. Reprod., November 1, 2004; 19(11): 2619 - 2625. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Litta, M. Bonora, C. Pozzan, F. Merlin, G. Sacco, M. Fracas, G. Capobianco, and S. Dessole Carbon dioxide versus normal saline in outpatient hysteroscopy Hum. Reprod., November 1, 2003; 18(11): 2446 - 2449. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. J. Clark, D. Voit, J. K. Gupta, C. Hyde, F. Song, and K. S. Khan Accuracy of Hysteroscopy in the Diagnosis of Endometrial Cancer and Hyperplasia: A Systematic Quantitative Review JAMA, October 2, 2002; 288(13): 1610 - 1621. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Revel and A. Shushan Investigation of the infertile couple: Hysteroscopy with endometrial biopsy is the gold standard investigation for abnormal uterine bleeding Hum. Reprod., August 1, 2002; 17(8): 1947 - 1949. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J C R Hardwick, S. Duffy, and R. Baker Outpatient hysteroscopy versus day case hysteroscopy BMJ, January 6, 2001; 322(7277): 47 - 47. [Full Text]
|
|
|
|
|
|
G. Unfried, F. Wieser, A. Albrecht, A. Kaider, and F. Nagele Flexible versus rigid endoscopes for outpatient hysteroscopy: a prospective randomized clinical trial Hum. Reprod., January 1, 2001; 16(1): 168 - 171. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Masamoto, K. Nakama, and K. Kanazawa Hysteroscopic appearance of the mid-secretory endometrium: relationship to early phase pregnancy outcome after implantation Hum. Reprod., October 1, 2000; 15(10): 2112 - 2118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N J Naftalin and M A Habiba Keeping patients out of hospital BMJ, January 29, 2000; 320(7230): 262 - 263. [Full Text]
|
|
|
|
|
|
C. Kremer, S. Duffy, and M. Moroney Patient satisfaction with outpatient hysteroscopy versus day case hysteroscopy: randomised controlled trial BMJ, January 29, 2000; 320(7230): 279 - 282. [Abstract] [Full Text]
|
|
|
|
|
|
F. Nagele, F. Wieser, A. Deery, R. Hart, and A. Magos Endometrial cell dissemination at diagnostic hysteroscopy: a prospective randomized cross-over comparison of normal saline and carbon dioxide uterine distension Hum. Reprod., November 1, 1999; 14(11): 2739 - 2742. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Shushan and N. Rojansky Should hysteroscopy be a part of the basic infertility workup? Hum. Reprod., August 1, 1999; 14(8): 1923 - 1924. [Full Text] [PDF]
|
|
|
|
|
|
M. FRANCHI, F. GHEZZI, N. DONADELLO, F. ZANABONI, P. BERETTA, and P. BOLIS Endometrial Thickness in Tamoxifen-Treated Patients: An Independent Predictor of Endometrial Disease Obstet. Gynecol., June 1, 1999; 93(6): 1004 - 1008. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
