Echosight patton coaxial catheter-guided hysteroscopy.
Two women requiring assisted reproduction had cervical stenosis on diagnostic evaluation. Office hysteroscopy was performed with paracervical block supplemented with mild intravenous sedation. When cervical pathology precluded placement of a diagnostic hysteroscopy, an Echosight Patton coaxial catheter with an outer echogenic sheath (5.7F) and inner 0.018-inch diameter guidewire with coude tip was introduced transcervically. Intraoperative transvaginal ultrasound was performed to ensure proper placement into the uterine cavity. When the uterine cavity was identified, cervical pathology was corrected with a VersaPoint electrosurgical electrode with bipolar coagulation through an operative hysteroscope. Concomitant diagnostic laparoscopy was not necessary. Echosight Patton coaxial catheter-guided ultrasound is a reassuring method to confirm hysteroscopic placement.
Lindheim
S R
SR
Center for Advanced Reproductive Medicine, Norwalk, CT , USA.
D002584:Cervix Uteri / Q000473:pathology* / Q000601:surgery; D003251:Constriction, Pathologic; D004598:Electrosurgery; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D012099:Reproductive Techniques