Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr. bipolar electrode
Stefano Bettocchi,Oronzo Ceci,R Di Venere,MV Pansini,A Pellegrino,Fiorino Marello,Luigi Nappi +6 more
TL;DR: The combination of a new generation small diameter hysteroscope and a new bipolar 5 Fr.
read more
Abstract: Background The aim of this study was to evaluate treatment efficacy and patient acceptability of a new bipolar probe used during office hysteroscopic treatment of benign intrauterine pathologies. Methods In this observational clinical study, 501 women were treated for benign intrauterine pathologies using an office hysteroscopic procedure, without analgesia or anaesthesia. A Versapoint 5 Fr. bipolar electrical generator was used to treat endometrial polyps ranging between 0.5 and 4.5 cm, as well as submucosal and partially intramural myomas between 0.6 and 2.0 cm. Treatment efficacy and patient compliance were evaluated. Results At follow-up, the uterine cavity was normal in all patients without any recurrence or persistence of the pathology. One focal adenocarcinoma was discovered at histology in an endometrial polyp of a menopausal patient. Patient acceptance was satisfactory; 47.6-79.3% of the patients underwent the procedure without discomfort. Conclusions The combination of a new generation small diameter hysteroscope and a new bipolar 5 Fr. electrode enables the gynaecologist to treat intrauterine pathologies in an office setting without anaesthesia. Experimentation of a special set-up of the electrical generator reduced patient discomfort during the operative part of the hysteroscopic procedure.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Failed diagnostic hysteroscopy: Analysis of 62 cases.
Fortunato Genovese,Gisella D’Urso,Federica Di Guardo,Giulio Insalaco,Attlio Tuscano,L. Ciotta,A. Carbonaro,Vito Leanza,Marco Palumbo +8 more
TL;DR: Results of the present study suggest that office hysteroscopy should be sussessful at the first attempt due to the patients' refuse, in majority of cases, to repeat the procedure after a failure, which may lead to lose or delay important diagnosis, such as that of endometrial cancer.
21
Instituting an office-based surgery program in the gynecologist's office.
TL;DR: Office-based surgery provides many advantages for the patient, physician, operating room team, and health care system, and with careful preparation, many can be performed without compromising patient safety or comfort.
21
Outpatient Hysteroscopic Polypectomy: Bipolar Energy System (Versapoint®) versus Mechanical Energy System (TRUCLEAR System®) - Preliminary Results.
Jennifer Rovira Pampalona,Maria Degollada Bastos,Gemma Mancebo Moreno,Esther Ratia García,Andrea Buron Pust,Joan Carles Mateu Pruñonosa,Angel Guerra Garcia,Ramón Carreras Collado,Pere Bresco Torras +8 more
TL;DR: The mechanical energy system presents a significant decrease in the total duration of polypectomy and hysteroscopy when performed both by experienced staff and by staff in training, resulting in higher success rates without complications with respect to conventional hysteroscope with bipolar energy.
20
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy
Marco Antonio Lenci,Vanessa Alessandra Lui do Nascimento,Ana Beatriz Grandini,Walid Makin Fahmy,Daniella de Batista Depes,Fausto Farah Baracat,Reginaldo Guedes Coelho Lopes +6 more
TL;DR: Symptomatic polyps in menacme and in all postmenopausal women should be resected and submitted to histopathological examination, since they may have a benign aspect, even when harboring areas of cellular atypia or cancer.
Reproducibility of Endometrial Pathologic Findings Obtained on Hysteroscopy, Transvaginal Sonography, and Gel Infusion Sonography in Women With Postmenopausal Bleeding.
TL;DR: Observer agreement regarding both HY and TVS was reliable for the diagnosis of a normal endometrium but poor with HY, TVS, and especially GIS for a diagnosis of cancer.
18
References
A Vaginoscopic Approach to Reduce the Pain of Office Hysteroscopy
Stefano Bettocchi,Luigi Selvaggi +1 more
TL;DR: A new approach to diagnostic hysteroscopy that reduces patient discomfort and increases the possible applications of hysteroscope is developed, and the last 680 hysteroscopies were done using the vaginoscopic approach without preselection.
263
Intrauterine surgery using a new coaxial bipolar electrode in normal saline solution (Versapoint): a pilot study.
TL;DR: The Versapoint system is an effective alternative in the treatment of intrauterine lesions and five of six patients conceived six normal fetuses and menstrual blood loss improved significantly.
90
How well do perimenopausal patients accept outpatient hysteroscopy? Visual analogue scoring of acceptability and pain in 100 women
Ellis Downes,F Al-Azzawi +1 more
TL;DR: It is demonstrated that outpatient hysteroscopy is well tolerated by perimenopause patients and the advantages of outpatient hysteroscope to the perimenopausal woman are discussed.
70
Myomectomies by endo-uterine resection
TL;DR: Endo-uterine resection is a true surgical act, well defined and atraumatic, to perform elective and complete one-stage hysteroscopic myomectomies, sparing normal myometrium, is not easy.
22
Hysteroscopic polypectomy in the office without anesthesia
TL;DR: The vaginoscopic approach without a speculum and tenaculum avoids discomfort to patients and ensures complete compliance in hysteroscopy, and all polyps were removed on diagnosis and women were able to resume their normal activity soon after the procedure.
21