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Vaginoscopic approach to outpatient hysteroscopy
M Paschopoulos1, E Paraskevaidis, K Stefanidis
1Department of Obstetrics and Gynecology, University of Ioannina, Ioannina, Greece.
Study Objective:
To evaluate a new method of outpatient hysteroscopy.
Design:
Prospective observational study.
Setting:
Departments of Obstetrics and Gynecology, Medical School of Ioannina, Greece, and Brooklyn Hospital Center, Brooklyn, New York.
Patients:
Three hundred twenty-four women, 316 of whom were symptomatic and 8 asymptomatic.
Interventions:
Hysteroscopic vaginoscopy with directed endometrial biopsies.
Measurements And Main Results:
The procedure was successful and well tolerated in 211 (65%) women. In 90 (27.9%) women, the procedure was successful but with significant pelvic pain, and in the remaining 23 (7.1%) it was complicated by either vagal reaction or complete intolerance. Hysteroscopic findings were in agreement with histopathologic results in 290 (89.5%) patients. In all 12 women with endometrial adenocarcinoma, hysteroscopic findings were identical with histopathologic results.
Conclusion:
The vaginoscopic approach is effective for outpatient hysteroscopy.