title: [Diagnostic hysteroscopy indications and results in Complexo Hospitalario Universitario De Ourense].
abstract: BACKGROUND
  Diagnostic hysteroscopy is an endoscopic technique that allows the evaluation of the endocervical canal and uterine cavity.
  
  
  OBJECTIVE
  To evaluate indications, complications and referral to operative hysteroscopy. To analyze the correlation between sonographic display, hysteroscopy findings and histological diagnosis.
  
  
  METHODS
  Retrospective and descriptive study of 904 patients who underwent diagnostic hysteroscopy between January 1, 2008 and June 30, 2012.
  
  
  RESULTS
  The most frequent indication was sonographic detection of endometrial polyps (75% were premenopausal and 71.2% postmenopausal). The complication rate associated with the test was 11.4%. The reduction experimented in operative hysteroscopies was from 31.2% in 2008 to 12.2% between January and June 2012. When a polyp or a myoma was detected by sonography, diagnostic hysteroscopy showed them in 64.4% y 62.5% of the cases, respectively. The correlation between hysteroscopic findings and histopathologic diagnosis was 77.7% for normal endometrium, 77.9% for polyps, 17.8% for hyperplasic appearance and 100% for carcinoma suspicion.
  
  
  CONCLUSIONS
  Diagnostic hysteroscopy is a safe technique that allows small interventions avoiding operative hysteroscopies. There is a good relation between hysteroscopic visual inspection and anatomopathologic diagnosis, but biopsy should be taken except if normal endometrium is visualized.
authors: Servicio de Obstetricia y Ginecología, Complexo Hospitalario Universitario de Ourense, España. monica.pato@yahoo.es
authors: Mónica
authors: M
authors: Pato-Mosquera
authors: Marta
authors: M
authors: Vázquez-Rodríguez
authors: Marta
authors: M
authors: Pérez-Adán
authors: María Jesús
authors: MJ
authors: García-García
authors: Susana
authors: S
authors: Blanco-Pérez
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000453:epidemiology; D000553:Ambulatory Care; D020878:Device Removal; D005260:Female; D006785:Hospitals, University; D006801:Humans; D006965:Hyperplasia; D015907:Hysteroscopy / Q000706:statistics & numerical data*; D007247:Infertility, Female / Q000175:diagnosis / Q000453:epidemiology; D007434:Intrauterine Devices; D007889:Leiomyoma / Q000175:diagnosis / Q000453:epidemiology; D008593:Menopause; D008800:Mexico / Q000453:epidemiology; D011127:Polyps / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology; D011230:Precancerous Conditions / Q000175:diagnosis / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000175:diagnosis* / Q000453:epidemiology; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000453:epidemiology; D014599:Uterus / Q000002:abnormalities / Q000473:pathology