Routine outpatient diagnostic uterine curettage using a flexible plastic aspiration curette

Diagnostic curettage using a flexible aspiration curette was possible in 97% of 246 women with abnormal uterine bleeding or discharge. Altogether 15 women with pelvic malignancy were detected or suspected by histological examination of the tissue obtained; no uterine malignancy was missed. The technique appears simple, safe, reliable and cheap and acceptable to patients. Delays in diagnosis and treatment are reduced and formal curettage under general anaesthetsia is avoided in the majority of women requiring investigation.