Updates in office hysteroscopy: a practical decalogue to perform a correct procedure

Area of Science:

• Gynecology and Obstetrics
• Minimally Invasive Surgery

Background:

• Hysteroscopy is the established standard for diagnosing and treating intrauterine conditions.
• Technological advancements have enhanced hysteroscopy's capabilities and accessibility.
• Small-diameter hysteroscopes with operating channels facilitate in-office procedures.

Purpose of the Study:

• To detail a standardized ten-step protocol for performing office hysteroscopy.
• To guide operators in executing hysteroscopy safely and painlessly for patients.

Main Methods:

• Review of current techniques and technological innovations in hysteroscopy.
• Description of a ten-step procedural guide for office hysteroscopy.
• Emphasis on operator technique for patient safety and comfort.

Main Results:

• Office hysteroscopy enables diagnosis and treatment of benign intrauterine diseases.
• Procedures can be performed quickly, without anesthesia, in an outpatient setting.
• Small-diameter hysteroscopes allow for biopsies and therapeutic interventions.

Conclusions:

• Adherence to a structured ten-step protocol ensures safe and effective office hysteroscopy.
• Proper technique is crucial for minimizing patient discomfort and maximizing procedural success.
• Office hysteroscopy represents a safe, minimally invasive option for various intrauterine pathologies.