title: Implementation of an outpatient hysteroscopy clinic at Waikato Women's Hospital report of the first 60 cases.
abstract: OBJECTIVE
  To study the implementation of an outpatient hysteroscopy clinic at Waikato Women's Hospital and to assess the procedures carried out without the use of local anaesthesia.
  
  
  METHODS
  This was a prospective observational study.
  
  
  RESULTS
  The main indication for the procedure was menorrhagia in 32 patients (53.34%). Fifteen per cent patients were post-menopausal. The commonest pathology found was fibroids in 14 patients (23.34%). The procedure was considered completed when a detailed examination of the uterine cavity had been done. This was possible in 54 cases (90%). The main reasons for an incomplete/abandoned procedure (10% patients) were troublesome bleeding, blurred camera lens, post-menopausal stenosis and a possible false passage. Only six patients (10%) needed a paracervical block and therefore 90% underwent the procedure without the use of local anaesthesia. An endometrial biopsy was performed selectively in 47 patients and an adequate specimen was obtained in 43 cases (91.49%). Only five patients later underwent a hysteroscopy and D & C in the main theatre and therefore general anaesthesia was avoided in 55 patients (91.67%). Conclusions. Performance of outpatient hysteroscopy in an adequately selected group of patients is successful in a considerable number of patients. This office procedure may be done without local anaesthesia in 90% of cases.
authors.affiliation: Waikato Women's Hospital, Hamilton.
authors.forename: J D
authors.initials: JD
authors.lastname: Roman
authors.forename: A N
authors.initials: AN
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D001706:Biopsy; D004717:Endometrium / Q000473:pathology; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D015907:Hysteroscopy; D008595:Menorrhagia / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D009520:New Zealand; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration; D015397:Program Evaluation; D011446:Prospective Studies; D016896:Treatment Outcome