A series of 1000 consecutive out-patient diagnostic hysteroscopies.
OBJECTIVE
To review the success of out-patient diagnostic hysteroscopy.


METHODS
Retrospective review of 1000 consecutive out-patient hysteroscopies.


RESULTS
Hysteroscopy was successfully performed in 96%. Cervical dilatation was required in 15.0% and local anaesthesia was administered in 31.4%; 77.3% of those requiring cervical dilatation received local anaesthesia. Intrauterine pathology was noted in 49.3%. The procedure failed in 40 (4%) patients for the following reasons: pain or anxiety in 23, cervical stenosis in 11, equipment failure in 4, and extreme uterine retroversion and inadvertent false cavity formation in one case each.


CONCLUSIONS
Out-patient diagnostic hysteroscopy is a safe, well tolerated and successful investigation procedure in the majority of patients and should be the procedure of choice for suspected intrauterine pathology.
University Department of Obstetrics and Gynaecology, Royal Free Hospital, London, UK.
M J
MJ
Cooper
J A
JA
Broadbent
B G
BG
Molnár
R
R
Richardson
A L
AL
Magos
D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000175:diagnosis*