title: Improved patient compliance using pediatric cystoscope during office hysteroscopy.
abstract: OBJECTIVE
  To evaluate the use of a pediatric cystoscope in office diagnostic hysteroscopy.
  
  
  METHODS
  Retrospective review (Canadian Task Force classification II-2).
  
  
  METHODS
  Maccabi Outpatient Women's Health Center.
  
  
  METHODS
  One thousand three hundred and thirty-five women; 959 (71.8%) premenopausal and 376 (28.2%) menopausal.
  
  
  METHODS
  Office diagnostic hysteroscopy using 2.3-mm diameter pediatric cystoscope, without premedication or anesthesia.
  
  
  RESULTS
  Hysteroscopy was successfully completed in 1298 patients (97.3%). The main reason for failure was cervical stenosis. Menopausal status was the only statistically significant factor correlating with increased failure rate. The analysis demonstrates that for every year of age, the OR for success decreases by 0.965, and success rises by 1.29 for every delivery the woman had. In menopausal women, the OR for success decreases by 0.45. Dilatation of the cervix was required in six women (0.46%), and local anesthesia was needed in only two women. One uterine perforation was recorded, and eight women (0.006%) developed vasovagal reflex or severe abdominal cramps. Post procedural oral analgesia was needed in 108 (8%) of the women.
  
  
  CONCLUSIONS
  The combination of a very small diameter continuous flow pediatric cystoscope, together with its ability to deliver high-quality images of the uterine cavity, make this instrument an excellent option for office diagnostic hysteroscopy.
authors.affiliation: Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin, Tel-Aviv University, Israel.
authors.forename: Moty
authors.initials: M
authors.lastname: Pansky
authors.forename: Michael
authors.initials: M
authors.lastname: Feingold
authors.forename: Rachel
authors.initials: R
authors.lastname: Bahar
authors.forename: Ortal
authors.initials: O
authors.lastname: Neeman
authors.forename: Ofer
authors.initials: O
authors.lastname: Asiag
authors.forename: Amir
authors.initials: A
authors.lastname: Herman
authors.forename: Ron
authors.initials: R
authors.lastname: Sagiv
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D015331:Cohort Studies; D020684:Cystoscopes; D004867:Equipment Design; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D016015:Logistic Models; D008875:Middle Aged; D016017:Odds Ratio; D010147:Pain Measurement; D010349:Patient Compliance / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D010372:Pediatrics / Q000295:instrumentation; D017698:Postmenopause; D017697:Premenopause; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D014591:Uterine Diseases / Q000175:diagnosis* / Q000601:surgery