Outpatient diagnostic hysteroscopy

TLDR

Abnormal uterine bleeding is the most common indication for outpatient diagnostic hysteroscopy. The study aimed to evaluate patient acceptance of outpatient diagnostic hysteroscopy performed under para‑cervical block. The procedure involved outpatient diagnostic hysteroscopy with endometrial sampling in 160 women. The technique succeeded in 152 of 160 patients, detected endometrial carcinoma in six, caused no complications, was generally tolerable with only two patients abandoning due to severe discomfort, and reduced hospital admissions while providing a low‑cost, minimally invasive early investigation for various gynecological disorders.

Abstract

Outpatient diagnostic hysteroscopy with endometrial sampling was performed in 160 women. The aim was to assess patient acceptance of the procedure when performed under para-cervical block. The most common indication was abnormal uterine bleeding. In 152 patients the procedure was successful, allowing thorough inspection of the uterine cavity, and in almost half of them no abnormality was detected. Thirty-one required subsequent elective admission, mainly for fibroid polypectomy. In most women the level of discomfort was assessed as 'tolerable', but in two the procedure was abandoned because of severe discomfort. Endometrial carcinoma was detected in six patients. There were no complications attributable to the procedure. Outpatient hysteroscopy considerably reduces the need for hospital admission and can provide early investigation for patients with a spectrum of gynaecological disorders, at low cost and with minimal facilities.