Effectiveness and appropriateness in the application of office hysteroscopy
- PMID: 30611636
- DOI: 10.1016/j.jfma.2018.12.012
Effectiveness and appropriateness in the application of office hysteroscopy
Abstract
With the advances in miniature instruments, office hysteroscopy on conscious patients has been the standard to explore the intrauterine pathology, with the ability to perform some minor procedures concomitantly. Patients usually appreciate the efficient "see and treat" procedures with such minimal discomfort that exempt from the inconvenience of going into the operating room and the need for anesthesia. However, controversies exist in the appropriateness of its application in some clinical situations. Concerns include (1) the criteria for hysteroscopy applied in the vast number of patients suffering from abnormal uterine bleeding or subfertility, and (2) the frequency for repeated hysteroscopy on some kinds of patients, such as those of endometrial cancer with fertility-sparing treatment for monitoring the disease, or those of severe intrauterine adhesion who need adhesiolysis for subsequent conception, in whom the appropriate protocol of repeatedly applying hysteroscopy lacks consensus. This article reviews the literature to find the best available evidence on the effectiveness of office hysteroscopy in comparison with other clinical diagnostic tools, as well as the current opinions on such controversies in its application.
Keywords: Abnormal uterine bleeding; Endometrial malignancy; Fertility-sparing treatment; Hysteroscopy; Intrauterine adhesion.
Copyright © 2018 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.
Similar articles
-
Updates in office hysteroscopy: a practical decalogue to perform a correct procedure.Updates Surg. 2020 Dec;72(4):967-976. doi: 10.1007/s13304-020-00713-w. Epub 2020 Feb 1. Updates Surg. 2020. PMID: 32008214 Review.
-
Office Operative Hysteroscopy: An Update.J Minim Invasive Gynecol. 2018 Feb;25(2):199-208. doi: 10.1016/j.jmig.2017.08.009. Epub 2017 Aug 10. J Minim Invasive Gynecol. 2018. PMID: 28803811 Review.
-
Implementation of Office Hysteroscopy for the Evaluation and Treatment of Intrauterine Pathology.Obstet Gynecol. 2022 Sep 1;140(3):499-513. doi: 10.1097/AOG.0000000000004898. Epub 2022 Aug 3. Obstet Gynecol. 2022. PMID: 35926213
-
Office hysteroscopy.Clin Obstet Gynecol. 1992 Jun;35(2):270-81. Clin Obstet Gynecol. 1992. PMID: 1638820 Review.
-
Modern operative hysteroscopy.Minerva Ginecol. 2016 Apr;68(2):126-32. Epub 2016 Mar 1. Minerva Ginecol. 2016. PMID: 26930389 Review.
Cited by
-
The effect of virtual reality on pain and anxiety management during outpatient hysteroscopy: a systematic review and meta-analysis of randomized controlled trials.Arch Gynecol Obstet. 2024 Apr;309(4):1267-1280. doi: 10.1007/s00404-023-07319-8. Epub 2024 Jan 2. Arch Gynecol Obstet. 2024. PMID: 38165441 Review.
-
Vaginal Repair of Cesarean Scar Defect under Hysteroscopic Guidance.Gynecol Minim Invasive Ther. 2023 Jul 31;12(4):257-258. doi: 10.4103/gmit.gmit_17_23. eCollection 2023 Oct-Dec. Gynecol Minim Invasive Ther. 2023. PMID: 38034105 Free PMC article. No abstract available.
-
Endometrial Osseous Metaplasia: An Hysteroscopic Incidental Finding - An Overview.Gynecol Minim Invasive Ther. 2023 Jun 16;12(4):243-245. doi: 10.4103/gmit.gmit_89_22. eCollection 2023 Oct-Dec. Gynecol Minim Invasive Ther. 2023. PMID: 38034103 Free PMC article.
-
What Factors Affect Pain Tolerance during Hysteroscopy?Rev Bras Ginecol Obstet. 2023 Aug;45(8):e499-e500. doi: 10.1055/s-0043-1772469. Epub 2023 Sep 8. Rev Bras Ginecol Obstet. 2023. PMID: 37683662 Free PMC article. No abstract available.
-
Scope and Suction: Hysteroscopic-guided Suction Evacuation of Cesarean Scar Pregnancy - A Safe and Efficacious Treatment for Selected Patients.Gynecol Minim Invasive Ther. 2023 May 18;12(2):72-76. doi: 10.4103/gmit.gmit_87_22. eCollection 2023 Apr-Jun. Gynecol Minim Invasive Ther. 2023. PMID: 37416109 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical