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. 1997 Aug;4(4):465-7.
doi: 10.1016/s1074-3804(05)80040-4.

Vaginoscopic approach to outpatient hysteroscopy

M Paschopoulos  1 , E Paraskevaidis, K Stefanidis, G Kofinas, D Lolis
Affiliations

Vaginoscopic approach to outpatient hysteroscopy

M Paschopoulos et al. J Am Assoc Gynecol Laparosc. 1997 Aug.

Abstract

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.

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