Top

Published in:

01-10-2010 | General Gynecology

Office hysteroscopy: current trends and potential applications: a critical review

Authors: Charalambos Siristatidis, Charalambos Chrelias, George Salamalekis, Dimitrios Kassanos

Published in: Archives of Gynecology and Obstetrics | Issue 4/2010

Abstract

Office hysteroscopy is an excellent method of identifying and treating intracavitary uterine lesions. It has become easy to learn and perform; as an aid of modern technological applications, it is safe, accurate, provides immediate results under direct visualisation, and offers the additional benefit of histological confirmation and the discomfort of patients is minimal. We applied an extended literature search to explore the special features and details of the technique itself, as it evolved since it first appeared 30 years back. Our initial goal was to examine potential changes/improvements of the modality, in terms of the instrumentation used and the technique itself, the indications of use, its incorporation in daily practice, and patients’ and clinicians’ acceptability.

Campo R, Molinas CR, Rombauts L et al (2005) Prospective multicentre randomized controlled trial to evaluate factors influencing the success rate of office diagnostic hysteroscopy. Hum Reprod 20:258–263CrossRefPubMed

van Dongen H, de Kroon CD, Jacobi CE, Trimbos JB, Jansen FW (2007) Diagnostic hysteroscopy in abnormal uterine bleeding: a systematic review and meta-analysis. BJOG 114:664–675CrossRefPubMed

Neuwirth RS (1978) A new technique for and additional experience with hysteroscopic resection of submucous fibroids. Am J Obstet Gynecol 131:91–94PubMed

Bettocchi S, Selvaggi L (1997) A vaginoscopic approach to reduce the pain of office hysteroscopy. J Am Assoc Gynecol Laparosc 4:255–258CrossRefPubMed

Bettocchi S, Ceci O, Di Venere R et al (2002) Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr. bipolar electrode. Hum Reprod 17:2435–2438CrossRefPubMed

Bettocchi S, Ceci O, Nappi L et al (2004) Operative office hysteroscopy without anesthesia: analysis of 4,863 cases performed with mechanical instruments. J Am Assoc Gynecol Laparosc 11:59–61CrossRefPubMed

Cicinelli E, Parisi C, Galantino P et al (2003) Reliability, feasibility, and safety of minihysterosocpy with a vaginoscopic approach: experience with 6,000 cases. Fertil Steril 80:199–202CrossRefPubMed

De Angelis C, Santoro G, Re ME, Nofroni I (2003) Office hysteroscopy and compliance: mini-hysteroscopy versus traditional hysteroscopy in a randomized trial. Hum Reprod 18:2441–2445CrossRefPubMed

Campo R, Van Belle Y, Rombauts L, Brosens I, Gordts S (1999) Office mini-hysteroscopy. Hum Reprod Update 5:73–81CrossRefPubMed

10.

Sharma M, Taylor A, di Spiezio Sardo A et al (2005) Outpatient hysteroscopy: traditional versus the ‘no-touch’ technique. BJOG 112:963–967CrossRefPubMed

11.

Garbin O, Kutnahorsky R, Göllner JL, Vayssiere C (2006) Vaginoscopic versus conventional approaches to outpatient diagnostic hysteroscopy: a two-centre randomized prospective study. Hum Reprod 21:2996–3000CrossRefPubMed

12.

Sagiv R, Sadan O, Boaz M et al (2006) A new approach to office hysteroscopy compared with traditional hysteroscopy: a randomized controlled trial. Obstet Gynecol 108:387–392PubMed

13.

Guida M, Di Spezio Sardo A, Acunzo G et al (2006) Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study. Hum Reprod 21:3253–3257CrossRefPubMed

14.

Di Spiezio Sardo A, Taylor A, Tsirkas P et al (2008) Ηysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies. Fertil Steril 89:438–443CrossRefPubMed

15.

Bettocchi S, Nappi L, Ceci O, Selvaggi L (2003) What does ‘diagnostic hysteroscopy’ mean today? The role of the new techniques. Curr Opin Obstet Gynecol 15:303–308CrossRefPubMed

16.

Fernandez H, Gervaise A, de Tayrac R (2000) Operative hysteroscopy for infertility using normal saline solution and a coaxial bipolar electrode: a pilot study. Hum Reprod 15:1773–1775CrossRefPubMed

17.

Garuti G, Cellani F, Colonnelli M, Grossi F, Luerti M (2004) Outpatient hysteroscopic polypectomy in 237 patients: feasibility of a one-stop “see-and-treat” procedure. J Am Assoc Gynecol Laparosc 11:500–504CrossRefPubMed

18.

Garuti G, Centinaio G, Luerti M (2008) Outpatient hysteroscopic polypectomy in postmenopausal women: a comparison between mechanical and electrosurgical resection. J Minim Invasive Gynecol 15:595–600CrossRefPubMed

19.

Bettocchi S, Nappi L, Ceci O et al (2005) Hysteroscopy and menopause: past and future. Curr Opin Obstet Gynecol 17:366–375CrossRefPubMed

20.

Wieser F, Kurz C, Wenzl R et al (1998) Atraumatic cervical passage at outpatient hysteroscopy. Fertil Steril 69:549–551CrossRefPubMed

21.

Zullo F, Pellicano M, Stigliano CM et al (1999) Topical anesthesia for office hysteroscopy. A prospective, randomized study comparing two modalities. J Reprod Med 44:865–869PubMed

22.

Sharma JB, Aruna J, Praveen Kumar et al (2009) Comparison of efficacy of oral drotaverine plus mefenamic acid with paracervical block and with intravenous sedation for pain relief during hysteroscopy and endometrial biopsy. Indian J Med Sci 63:244–252

23.

Floris S, Piras B, Orrù M et al (2007) Efficacy of intravenous tramadol treatment for reducing pain during office diagnostic hysteroscopy. Fertil Steril 87:147–151CrossRefPubMed

24.

Yang J, Vollenhoven B (2002) Pain control in outpatient hysteroscopy. Obstet Gynecol Surv 57:693–702CrossRefPubMed

25.

Rullo S, Sorrenti G, Marziali M et al (2005) Office hysteroscopy: comparison of 2.7- and 4-mm hysteroscopes for acceptability, feasibility and diagnostic accuracy. J Reprod Med 50:45–48PubMed

26.

Litta P, Cosmi E, Saccardi C et al (2008) Outpatient operative polypectomy using a 5 mm-hysteroscope without anaesthesia and/or analgesia: advantages and limits. Eur J Obstet Gynecol Reprod Biol 139:120–124CrossRef

27.

Unfried G, Wieser F, lbrecht A, Kaider A, Nagele F (2001) Flexible versus rigid endoscopes for outpatient hysteroscopy: a prospective randomized clinical trial. Hum Reprod 16:168–171CrossRefPubMed

28.

Chang CC (2007) Efficacy of office diagnostic hysterofibroscopy. J Minim Invasive Gynecol 14:172–175CrossRefPubMed

29.

Jacobs VR, Paepke S, Schwarz-Boeger U et al (2005) Development of a thinner and more flexible type of minihysteroscope with a controlled 90-degree bendable tip for vision-guided endometrium biopsy. J Minim Invasive Gynecol 12:426–431CrossRefPubMed

30.

Papalampros P, Gambadauro P, Papadopoulos N et al (2009) The mini-resectoscope: a new instrument for office hysteroscopic surgery. Acta Obstet Gynecol Scand 88:227–230CrossRefPubMed

31.

Valle RF (1988) Future growth and development of hysteroscopy. Obstet Gynecol Clin North Am 15:111–126PubMed

32.

Di Spiezio Sardo A, Mazzon I, Bramante S et al (2008) Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update 14:101–119CrossRefPubMed

33.

Bettocchi S, Di Venere R, Pansini N et al (2002) Endometrial biopsies using small-diameter hysteroscopes and 5F instruments: how can we obtain enough material for a correct histologic diagnosis? J Am Assoc Gynecol Laparosc 9:290–292CrossRefPubMed

34.

Nagele F, Bournas N, O’Connor H et al (1996) Comparison of carbon dioxide and normal saline for uterine distension in outpatient hysteroscopy. Fertil Steril 65:305–309PubMed

35.

Perez-Medina T, Bajo JM, Martinez-Cortes L, Castellanos P, Perez de Avila I (2000) Six thousand office diagnostic-operative hysteroscopies. Int J Gynaecol Obstet 71:33–38CrossRefPubMed

36.

Solima E, Brusati V, Ditto A et al (2008) Hysteroscopy in endometrial cancer: new methods to evaluate transtubal leakage of saline distension medium. Am J Obstet Gynecol 198:214CrossRefPubMed

37.

Lavie O, Gemer O, Ben-Arie A (2008) Office hysteroscopy and the risk of microscopic extrauterine spread in endometrial cancer. Gynecol Oncol 110:266–267CrossRefPubMed

38.

Colacurci N, De Franciscis P, Mollo A et al (2007) Small-diameter hysteroscopy with Versapoint versus resectoscopy with a unipolar knife for the treatment of septate uterus: a prospective randomized study. J Minim Invasive Gynecol 14:622–627CrossRefPubMed

39.

Garuti G, Luerti M (2009) Hysteroscopic bipolar surgery: a valuable progress or a technique under investigation? Curr Opin Obstet Gynecol 21:329–334CrossRefPubMed

40.

Isaacson K (2002) Office hysteroscopy: a valuable but under-utilized technique. Curr Opin Obstet Gynecol 14:381–385CrossRefPubMed

41.

Jansen FW, Vredevoogd CB, van Ulzen K et al (2000) Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol 96:266–270CrossRefPubMed

42.

Hamou J, Salat-Baroux J, Siegler AM (1983) Diagnosis and treatment of intrauterine adhesions by microhysteroscopy. Fertil Steril 39:321–326PubMed

43.

Campo V, Campo S (2007) Hysteroscopy requirements and complications. Minerva Ginecol 59:451–457PubMed

44.

Gordts S, Campo R, Rombauts L, Brosens I (1998) Transvaginal salpingoscopy: an office procedure for infertility investigation. Fertil Steril 70:523–526CrossRefPubMed

45.

Di Spiezio Sardo A, Guida M, Bettocchi S et al (2008) Role of hysteroscopy in evaluating chronic pelvic pain. Fertil Steril 90:1191–1196CrossRefPubMed

46.

Molinas CR, Campo R (2006) Office hysteroscopy and adenomyosis. Best Pract Res Clin Obstet Gynaecol 20:557–567CrossRefPubMed

47.

Arjona JE, Miño M, Cordón J et al (2008) Satisfaction and tolerance with office hysteroscopic tubal sterilization. Fertil Steril 90:1182–1186CrossRefPubMed

48.

Glasser MH (2009) Practical tips for office hysteroscopy and second-generation “global” endometrial ablation. J Minim Invasive Gynecol 16:384–399CrossRefPubMed

49.

Pontrelli G, Landi S, Siristatidis C et al (2007) Endometrial vaporization of the cervical stump employing an office hysteroscope and bipolar technology. J Minim Invasive Gynecol 14:767–769CrossRefPubMed

50.

Jiménez JS, Gonzalez C, Alvarez C et al (2009) Conservative management of retained trophoblastic tissue and placental polyp with diagnostic ambulatory hysteroscopy. Eur J Obstet Gynecol Reprod Biol 145:89–92CrossRefPubMed

51.

Di Spiezio Sardo A, Di Carlo C, Salerno MC et al (2007) Use of office hysteroscopy to empty a very large hematometra in a young virgin patient with mosaic Turner’s syndrome. Fertil Steril 87:417PubMed

52.

Garuti G, Cellani F, Grossi F et al (2002) Saline infusion sonography and office hysteroscopy to assess endometrial morbidity associated with tamoxifen intake. Gynecol Oncol 86:323–329CrossRefPubMed

53.

Arslan S, Aytan H, Gunyeli I et al (2005) Office hysteroscopic evaluation of endometrium: can we hit the target? Arch Gynecol Obstet 271:200–202CrossRefPubMed

54.

Avila ML, Ruiz R, Cortaberria JR, Rivero B, Ugalde FJ (2008) Assessment of cervical involvement in endometrial carcinoma by hysteroscopy and directed biopsy. Int J Gynecol Cancer 18:128–131CrossRefPubMed

55.

Di Spiezio Sardo A, Mazzon I, Gargano V et al (2008) Hysteroscopic treatment of atypical polypoid adenomyoma diagnosed incidentally in a young infertile woman. Fertil Steril 89:456PubMed

56.

Lécuru F, Le Frère Belda MA, Bats AS et al (2008) Performance of office hysteroscopy and endometrial biopsy for detecting endometrial disease in women at risk of human non-polyposis colon cancer: a prospective study. Int J Gynecol Cancer 18:1326–1331CrossRefPubMed

57.

Hinckley MD, Milki AA (2004) 1,000 office-based hysteroscopies prior to in vitro fertilization: feasibility and findings. JSLS 8:103–107PubMed

58.

Lorusso F, Ceci O, Bettocchi S et al (2008) Office hysteroscopy in an in vitro fertilization program. Gynecol Endocrinol 24:465–469CrossRefPubMed

59.

El-Toukhy T, Sunkara SK, Coomarasamy A, Grace J, Khalaf Y (2008) Outpatient hysteroscopy and subsequent IVF cycle outcome: a systematic review and meta-analysis. Reprod Biomed Online 16:712–719CrossRefPubMed

60.

de Sá Rosa e de Silva AC, Rosa e Silva JC, Cândido dos Reis FJ, Nogueira AA, Ferriani RA (2005) Routine office hysteroscopy in the investigation of infertile couples before assisted reproduction. J Reprod Med 50:501–506

61.

Bosteels J, Weyers S, Puttemans P (2010) The effectiveness of hysteroscopy in improving pregnancy rates in subfertile women without other gynaecological symptoms: a systematic review. Hum Reprod Update 16:1–11CrossRefPubMed

62.

Lasmar RB, Barrozo PR, de Oliveira MA, Coutinho ES, Dias R (2006) Validation of hysteroscopic view in cases of endometrial hyperplasia and cancer in patients with abnormal uterine bleeding. J Minim Invasive Gynecol 13:409–412CrossRefPubMed

63.

Brooks PG (2007) Is the management of abnormal uterine bleeding, is office hysteroscopy preferable to sonography? The case for hysteroscopy. J Minim Invasive Gynecol 14:12–14CrossRefPubMed

64.

Ceci O, Bettocchi S, Pellegrino A et al (2002) Comparison of hysteroscopic and hysterectomy findings for assessing the diagnostic accuracy of office hysteroscopy. Fertil Steril 78:628–631CrossRefPubMed

Title: Office hysteroscopy: current trends and potential applications: a critical review
Authors: Charalambos Siristatidis
Charalambos Chrelias
George Salamalekis
Dimitrios Kassanos
Publication date: 01-10-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1437-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Office hysteroscopy: current trends and potential applications: a critical review

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2010

Labor analgesia for the morbidly obese woman involved in a minor motor vehicle accident and unaware of pregnancy until full term and labor

Admission test as precursor of perinatal outcome: a prospective study

Primary ovarian trabecular carcinoid tumor: a case report and literature review

KIT-positive primary small cell carcinoma of the endometrium: a case report with immunohistochemical and molecular genetic analysis of KIT and PDGFRA genes

Comparison of metformin and clomiphene citrate therapy for induction of ovulation in the polycystic ovary syndrome

IVF conversion to IUI in poor responders: an observational study