Author/Editor | Žegura, Branka | |
Title | Our experience with outpatient hysteroscopy | |
Type | članek | |
Source | In: Žegura B, editor. Simpozij z mednarodno udeležbo Diagnostične in terapevtske možnosti histeroskopije; 2005 jan 14; Maribor. Maribor: Splošna bolnišnica Maribor, | |
Publication year | 2005 | |
Volume | str. 7-11 | |
Language | eng | |
Abstract | Objective To evaluate the feasibility and acceptability of outpatient hysteroscopy, introduced in July 2003 to Slovenia. Methods The outcome of 358 consecutive outpatient hysteroscopies was analyzed. Cervical dilatation was performed when necessary and local anesthesia was not administered routinely. Endometrial biopsy and minor hysteroscopic procedures were carried out when indicated. Results The most common indication for the hysteroscopy was abnormal bleeding (54.3%), Hysteroscopy was performed successfully in 95.8%. Intrauterine pathology was diagnosed in 60.4%. Endometrial biopsy was performed in 44.4% and produced adequate tissue for histologic examination in 95.3%. Endometrial atypical hyperplasia or carcinoma were detected in 0.8% and 3.0%, respectively. Seventythree patients (20.6%) underwent a minor hysteroscopic procedure. For almost half of our patients the combined diagnostic-therapeutic hysteroscopy concluded their treatment. Conclusion Outpatient hysteroscopy has a high detection rate for intrauterine pathology. It may become as routine procedure in the 21st century as D&C has been in the 20th. | |
Descriptors | UTERINE DISEASES HYSTEROSCOPY BIOPSY LEIOMYOMA ENDOMETRIAL HYPERPLASIA ENDOMETRIAL NEOPLASMS |