[Diagnostic hysteroscopy in XXXX . Five-years' experience].

@entity1 @entity3556 @entity5 @entity11419 @entity515 @entity158
BACKGROUND: Hysteroscopy has acquired a central role in the clinical diagnosis of intrauterine pathologies. This study evaluated the feasibility, procedure modality, tolerability, complications and diagnostic accuracy of hysteroscopy in the management of @entity1 with @entity3556 ( @entity3556 ). METHODS: This retrospective study was carried out on 512 @entity1 (age range: 38-80 years, mean age: 63) with @entity3556 who attended our hysteroscopy outpatient service from January 1996 to December 2001. After undergoing transvaginal sonography, the @entity1 were referred for further diagnostic studies. Ambulatory hysteroscopy without premedication was performed using a Hamou hysteroscope and physiological solution or @entity515 as distension medium. Guided biopsy with a Novak cannula completed the examination. When focal lesions were found, the @entity1 were referred for surgical treatment (hysteroscopic resection, hysterectomy, etc.). Hysteroscopic and histologic findings were then compared. RESULTS: Locoregional or general anaesthesia was required in only 9.3% of cases to complete the examination. Overall, the examination was well tolerated; one case of serious complications ( @entity11419 which resolved rapidly) and 18 cases of shoulder @entity158 were recorded. The hysteroscopic picture was normal in 25% of cases, benign pathology was diagnosed in 58.6% and suspected malignant @entity5 in 16.4%. Correlation rates between hysteroscopic and histologic diagnoses are reported for the various hysteroscopic pictures. CONCLUSIONS: Ambulatory hysteroscopy was shown to be a simple, safe, well tolerated and reliable procedure in the diagnosis of @entity3556 across all age groups. Its widespread use can drastically reduce the need for conventional curettage, thereby increasing @entity1 satisfaction and lowering costs.
