Office Hysteroscopy - State of the Art

Overview

Objective:
Sum up the knowledge about office hysteroscopy.

Type of study:
Review of literature and our own 5 years of experience.

Setting:
Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague and General Teaching Hospital Prague, Prague.

Methods:
Compilation of data from scientific literature and 5 years of our own experience with office hysteroscopy.

Conclusions:
Hysteroscopy provides optical evaluation of uterine cavity. Most of the benign intrauterine organics pathologies could be managed in an outpatient setting with a vaginoscopic approach without any anaesthesia and analgesia. Using that approach we can recommend to perform endometrial target biopsy, resection of endometrial polyps up to 1.5 cm and pedunculated submucous myomas up to 1 cm as well as resection of filmy intrauterine adhesions. Method is comfortable for well managed patients and practically complication-free.

Key words:
office hysteroscopy, vaginoscopic approach, endometrial biopsy, endometrial polyp, submucous myoma, intrauteine adhesions.