Open Access Research Article

Outpatient Hysteroscopy for the Management of Intrauterine Disorders: Feasibility, Effectiveness and Safety For 3000 Cases

Marta Bailón Queiruga MD1, Laura Blanch Fons MD1, Josep Estadella Tarrie MD1,3*, Cristina Vanrell Barbat MD1,3, PhD, Oriol Porta Roda MD, PhD 1,3, Ignasi Gich Saladich MD, PhD 2,3 and Marta Simó González MD, PhD1

1Department of Obstetrics and Gynaecology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain

2CIBER Epidemiology and Public Health (CIBERESP), Spain. Department of Clinical Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Universidad Autonoma de Barcelona, Spain

3Biomedical Research Institute Sant Pau (IIB Sant Pau), Spain

Corresponding Author

Received Date:July 21, 2021;  Published Date: August 09, 2021


Study objective: To assess the feasibility, effectiveness and safety of outpatient hysteroscopies performed in an Office Hysteroscopy Unit.

Design: Retrospective observational study of prospectively collected data in an office hysteroscopy unit database (Canadian Task Force II-2). The study was approved by our hospital’s ethical committee.

Setting: Tertiary care university hospital.

Patients: Included consecutively were 3000 patients who underwent outpatient hysteroscopy between May 2008 and October 2019.

Interventions: Outpatient hysteroscopy was performed using a rigid 5-6 mm diameter device when indicated for diagnostic or therapeutic purposes.

Measurements and Main Results: Feasibility, effectiveness and safety results were evaluated. Outpatient hysteroscopies were successfully performed in 94.5% of cases, with failed hysteroscopies amounting to just 5.5% of cases. Effectiveness was 87.4%, with just 12.6% of women rescheduled for hysteroscopy in a surgical setting. There were no complications in 99% of patients; the main complications otherwise were vasovagal response and uterine perforation (28 and 2 cases, respectively), neither of which required further intervention other than antibiotic treatment and clinical observation.

Conclusion: The results for 3000 outpatient hysteroscopies indicate that office hysteroscopy is a feasible, effective and safe approach to managing most cases of common benign intrauterine disorders. These encouraging results would suggest that outpatient hysteroscopy should be a first line approach to the management of intrauterine conditions.

Keywords: Effectiveness; Feasibility; First line treatment; Office hysteroscopy; Outpatient hysteroscopy; Safety

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