STUDY OBJECTIVE: To evaluate a new method of outpatient hysteroscopy. DESIGN: Prospective observational study. SETTING: Departments of Obstetrics and Gynecology, Medical School of Ioannina, Greece, and Brooklyn Hospital Center, Brooklyn, New York. PATIENTS: Three hundred twenty-four women, 316 of whom were symptomatic and 8 asymptomatic. INTERVENTIONS: Hysteroscopic vaginoscopy with directed endometrial biopsies. MEASUREMENTS AND MAIN RESULTS: The procedure was successful and well tolerated in 211 (65%) women. In 90 (27.9%) women, the procedure was successful but with significant pelvic pain, and in the remaining 23 (7.1%) it was complicated by either vagal reaction or complete intolerance. Hysteroscopic findings were in agreement with histopathologic results in 290 (89.5%) patients. In all 12 women with endometrial adenocarcinoma, hysteroscopic findings were identical with histopathologic results. CONCLUSION: The vaginoscopic approach is effective for outpatient hysteroscopy.
STUDY OBJECTIVE: To evaluate a new method of outpatient hysteroscopy. DESIGN: Prospective observational study. SETTING: Departments of Obstetrics and Gynecology, Medical School of Ioannina, Greece, and Brooklyn Hospital Center, Brooklyn, New York. PATIENTS: Three hundred twenty-four women, 316 of whom were symptomatic and 8 asymptomatic. INTERVENTIONS: Hysteroscopic vaginoscopy with directed endometrial biopsies. MEASUREMENTS AND MAIN RESULTS: The procedure was successful and well tolerated in 211 (65%) women. In 90 (27.9%) women, the procedure was successful but with significant pelvic pain, and in the remaining 23 (7.1%) it was complicated by either vagal reaction or complete intolerance. Hysteroscopic findings were in agreement with histopathologic results in 290 (89.5%) patients. In all 12 women with endometrial adenocarcinoma, hysteroscopic findings were identical with histopathologic results. CONCLUSION: The vaginoscopic approach is effective for outpatient hysteroscopy.