Vaginoscopic approach to outpatient hysteroscopy.
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.
Paschopoulos
M
M
Department of Obstetrics and Gynecology, University of Ioannina, Ioannina, Greece.
Paraskevaidis
E
E
Stefanidis
K
K
Kofinas
G
G
Lolis
D
D
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