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Long-term complications of office hysteroscopy: analysis of 1028 cases
T C van Kerkvoorde1, S Veersema, A Timmermans
1Department of Obstetrics and Gynecology, St. Antonius Hospital, Nieuwegein, The Netherlands. tcvankerkvoorde@hotmail.com
Study Objective:
To estimate the long-term complication rate of office hysteroscopy with the vaginoscopic approach.
Design:
Retrospective cohort study (Canadian Task Force classification II-A).
Setting:
University-affiliated teaching hospital with outpatient hysteroscopy facilities.
Patients:
Between January 2005 and October 2007, all consecutive patients undergoing office hysteroscopy with the vaginoscopic approach were analyzed, 1028 procedures in total.
Interventions:
Therapeutic or diagnostic office hysteroscopy with the vaginoscopic approach. The complication registration of the gynecology department and a random sample of one third of the medical records were analyzed for long-term complications.
Measurements And Main Results:
Of the 1028 hysteroscopic procedures, 622 (60%) were diagnostic, 328 (32%) were therapeutic hysteroscopic procedures, and 78 (8%) procedures failed. In the complication registration and in the medical charts, 1 significant complication could be identified.
Conclusions:
Office hysteroscopy with the vaginoscopic approach is a safe procedure. This study showed an extremely low risk of long-term complications.
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