Experience and results of office hysteroscopy at a primary hospital

Abstract

Our aim was to analyse, retrospectively, the perioperative outcomes of 3,488 office hysteroscopies. Age, menopausal status, parity, medical indications, use or not of anaesthesia, incidents, presence of pathology in the cavity, endometrial pathology, type of surgery and pain assessment details were collected. The mean age of patients was 52.1 years. The most common medical indication was suspicious ultrasound for endometrial disease, and the most frequent symptom was metrorrhagia. We did not use any type of anaesthesia in 89.5% of patients and we could access the uterine cavity in 99.4% of cases. The complication rate was very low though 12% of patients reported severe pain while performing the test. Although office hysteroscopy in outpatients is fully established and is usually well tolerated, there is a group of patients who could benefit from analgesic treatment prior to the test, to improve their tolerance.

Keywords::

• Cervical preparation
• complications
• office hysteroscopy
• operative hysteroscopy

Acknowledgements

Students and teachers of the first Master's Degree in Gynecologic Endoscopy, carried out at La Paz University Hospital, Madrid, from October 2011 until June 2012.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.