Office hysteroscopy – management and results

Czech version

Authors: D. Kužel; L. Hrazdírová; M. Mára; M. Fanta; H. Hrušková; K. Kubínová
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2012; 77(4): 308-313

Overview

Objective:
Sum up the knowledge about office hysteroscopy.

Type of study:
Review of literature and our own experience.

Setting:
Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague and General Teaching Hospital Prague.

Methods:
Data from scientific literature and 10 years of our own experience with office hysteroscopy.

Conclusions:
Hysteroscopy provides optical evaluation of uterine cavity. Most of the benign intrauterine organics pathologies could be managed in a outpatient setting with a vaginoscopic approach without any anaesthesia and analgesia. Using that approach we can recommend to perform endometrial target biopsy, resection of endometrial polyps up to 1.5 cm and pedunculated submucous myomas up to 1 cm as well as resection of filmy intrauterine adhesions. Method is comfotable for well managed patients and practically complication-free.

Key words:
office hysteroscopy, vaginoscopic approach, endometrial biopsy, endometrial polyp, submucous myoma, intrauteine adhesions.

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