title: Vaginoscopic approach to outpatient hysteroscopy.
abstract: OBJECTIVE
  To evaluate a new method of outpatient hysteroscopy.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  Departments of Obstetrics and Gynecology, Medical School of Ioannina, Greece, and Brooklyn Hospital Center, Brooklyn, New York.
  
  
  METHODS
  Three hundred twenty-four women, 316 of whom were symptomatic and 8 asymptomatic.
  
  
  METHODS
  Hysteroscopic vaginoscopy with directed endometrial biopsies.
  
  
  RESULTS
  The procedure was successful and well tolerated in 211 (65%) women. In 90 (27.9%) women, the procedure was successful but with significant pelvic pain, and in the remaining 23 (7.1%) it was complicated by either vagal reaction or complete intolerance. Hysteroscopic findings were in agreement with histopathologic results in 290 (89.5%) patients. In all 12 women with endometrial adenocarcinoma, hysteroscopic findings were identical with histopathologic results.
  
  
  CONCLUSIONS
  The vaginoscopic approach is effective for outpatient hysteroscopy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Ioannina, Ioannina, Greece.
authors.forename: M
authors.initials: M
authors.lastname: Paschopoulos
authors.forename: E
authors.initials: E
authors.lastname: Paraskevaidis
authors.forename: K
authors.initials: K
authors.lastname: Stefanidis
authors.forename: G
authors.initials: G
authors.lastname: Kofinas
authors.forename: D
authors.initials: D
authors.lastname: Lolis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D001706:Biopsy / Q000009:adverse effects / Q000379:methods; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000209:etiology / Q000473:pathology