[Operative office hysteroscopy using bipolar technology. Our experience in seven years]

In the last decade have developed small diameter instruments with pods streaming and highly efficient working channels that allow outpatient surgical procedures.

To evaluate the utility of operative office hysteroscopy with the use of the bipolar electrosurgical system. We analyzed clinical characteristics, results and patient acceptability.

We performed a descriptive study of 1591 operative hysteroscopies, using an office hysteroscopic procedure with Bipolar technology; with a 5.5 mm rigid hysteroscope Bettocchi type.

The mean operating time was 8 min. The most common procedure was polypectomy. Severe pain and/or vagal reflex occurred in less than 0.7% of the patients.

The Bipolar technology facilitates operative office hysteroscopy and allows resectoscopy to be reserved for the treatment of special cases. Patient acceptability is high.