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A series of 1000 consecutive out-patient diagnostic hysteroscopies
M J Cooper1, J A Broadbent, B G Molnár
1University Department of Obstetrics and Gynaecology, Royal Free Hospital, London, UK.
Objective:
To review the success of out-patient diagnostic hysteroscopy.
Method:
Retrospective review of 1000 consecutive out-patient hysteroscopies.
Results:
Hysteroscopy was successfully performed in 96%. Cervical dilatation was required in 15.0% and local anaesthesia was administered in 31.4%; 77.3% of those requiring cervical dilatation received local anaesthesia. Intrauterine pathology was noted in 49.3%. The procedure failed in 40 (4%) patients for the following reasons: pain or anxiety in 23, cervical stenosis in 11, equipment failure in 4, and extreme uterine retroversion and inadvertent false cavity formation in one case each.
Conclusion:
Out-patient diagnostic hysteroscopy is a safe, well tolerated and successful investigation procedure in the majority of patients and should be the procedure of choice for suspected intrauterine pathology.