title: Office hysteroscopy: A report of 2402 cases.
abstract: BACKGROUND
  Hysteroscopy is the gold standard for evaluation of uterine cavity. It can be performed either as office setting or as day care procedure under general anaesthesia. Objective of this study is to assess feasibility and acceptability of office hysteroscopy without anaesthesia.
  
  
  METHODS
  This retrospective observational study took place in the gynaecologic unit of a teaching hospital. Women who had had an office hysteroscopy from 2010 to 2013 were included.
  
  
  RESULTS
  Two thousand four hundred and two office hysteroscopies were carried out. Indications were menorrhagia (32.2%), postoperative evaluation (20.8%), infertility (15.8%), postmenopausal bleeding (10.9%) and other indications (20.3%). Women's mean age was 39.4 [39.0-39.9] and significantly higher among women with a failure of the office hysteroscopy (47.3 vs. 38.6, P<0.01). The failure rate was 9.5%, significantly higher in women with postmenopausal bleeding and lower in women for a postoperative evaluation. Assessment of an abnormal uterine cavity was done in 56.0% of cases with 28.7% of myomas, 27.2% of polyps, 17.7% of synechiaes, 14.7% of endometrial hypertrophies, 9.0% of trophoblastic retentions and 7.7% of uterine malformation. The complication rate of office hysteroscopy was 0.05%. Mean pain score during the examination was 3.57 out of 10 [3.48-3.66] and 0.89 [0.83-0.95] five minutes later.
  
  
  CONCLUSIONS
  Office hysteroscopy is safe and feasible with little pain. A failure rate of 9.5% is reported, mainly for older women with postmenopausal bleeding.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 94276 Le Kremlin-Bicêtre, France; Inserm, Centre of research in epidemiology and population health (CESP), U1018, 94276 Le Kremlin-Bicêtre, France. Electronic address: perrine.capmas@aphp.fr.
authors.forename: P
authors.initials: P
authors.lastname: Capmas
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 94276 Le Kremlin-Bicêtre, France; Faculty of medicine, University Paris Sud, 94276 Le Kremlin-Bicêtre, France.
authors.forename: A-G
authors.initials: AG
authors.lastname: Pourcelot
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 94276 Le Kremlin-Bicêtre, France.
authors.forename: E
authors.initials: E
authors.lastname: Giral
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 94276 Le Kremlin-Bicêtre, France.
authors.forename: D
authors.initials: D
authors.lastname: Fedida
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 94276 Le Kremlin-Bicêtre, France; Inserm, Centre of research in epidemiology and population health (CESP), U1018, 94276 Le Kremlin-Bicêtre, France; Faculty of medicine, University Paris Sud, 94276 Le Kremlin-Bicêtre, France.
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods; D004714:Endometrial Hyperplasia / Q000175:diagnosis; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods; D008595:Menorrhagia / Q000175:diagnosis; D008875:Middle Aged; D010146:Pain; D011127:Polyps / Q000175:diagnosis; D017698:Postmenopause; D012189:Retrospective Studies; D014564:Urogenital Abnormalities / Q000175:diagnosis; D014591:Uterine Diseases / Q000175:diagnosis*; D014592:Uterine Hemorrhage / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis; D014599:Uterus / Q000002:abnormalities
keywords: Failure rate; Hystéroscopie diagnostique, Vaginoscopie, Douleur, Échec, Consultation; Office hysteroscopy; Pain; Postmenopausal bleeding; Vaginoscopy