Authors: D. Kužel 1; D. Tóth 2; L. Hrazdírová 1; M. Mára 1; Z. Fučíková 1 Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc. 1; Clinique St. Germain, Brive la Gaillarde, France 2 Published in: Ceska Gynekol 2006; 71(4): 325-328 Category: Original Article
Objective: To evaluate bulk limits of intrauterine pathology for „see and treat“ hysteroscopy.
Type of study: A retrospective observational study.
Setting: Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague and General Teaching Hospital Prague.
Methods: 200 mg of Indomethacin was administered to the patients by rectum 2 hours before procedure. „See and treat“ procedures were performed with „Versascope“ in awake patients without any peroperatively admistered analgesia or anaesthesia. As a „see and treat“ were managed 796 endometrial polyps, 125 submucous myomas, as well as 62 cases of intrauterine synechias.
Conclusions: endometrial polyps up to 1,5 cm, pedunculated submucous myomas up to 1,0 cm as well as fibroid adhesiones obliterated no more than 1/3 of uterine cavity can be managed as „see and treat“ procedures with a high compliance of the patients.
Key words: office hysteroscopy, vaginoscopic approach, endometrial biopsy, endometrial polyp, submucous myoma, intrauteine adhesions
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