Vaginohysteroscopy, a patient-friendly technique for outpatient hysteroscopy: experience of the first 100 cases.
OBJECTIVE
To evaluate the feasibility and tolerability of the vaginoscopic approach for office hysteroscopy.


METHODS
Prospective observational study.


METHODS
Tertiary care hospital.


METHODS
Unselected, consecutive 100 patients scheduled for diagnostic hysteroscopy.


METHODS
Hysteroscopy with a vaginoscopic approach using a 5-mm rigid hysteroscope with single inflow channel, and normal saline for distension.


METHODS
Successful hysteroscopy by the vaginoscopic approach; operative time; and degree of pain experienced.


RESULTS
The vaginoscopic technique was successful in 79% of the patients. The median operative time was 120 seconds in successful cases and 360 seconds in those in which the vaginoscopic approach was unsuccessful and had to be performed by the conventional technique with or without dilatation, the difference being statistically significant (P < 0.001). The procedure took < or = 2 minutes in 91.1% (72/79) of the successful cases. No pain or mild pain was experienced by 97.5% (77/79) of patients in whom vaginohysteroscopy was successful.


CONCLUSIONS
Hysteroscopy with the vaginoscopic approach is the ideal method for outpatient hysteroscopy. It is feasible, quick, and very well tolerated, obviating the need for any analgesia or local anesthesia.
Misra
Renu
R
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. kkcorporation@mac.com
Sinha
Maruti
M
Mittal
Suneeta
S
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008595:Menorrhagia / Q000601:surgery; D008599:Menstruation Disturbances / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies