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- Title
The use of different size-hysteroscope in office hysteroscopy: our experience.
- Authors
Romani, Federica; Guido, Maurizio; Morciano, Andrea; Martinez, Daniela; Gaglione, Raffaele; Lanzone, Antonio; Selvaggi, Luigi
- Abstract
Purpose: To evaluate the successful rate and patient acceptance of different-sized hysteroscope in office hysteroscopy. Methods: We retrospectively evaluated 900 office hysteroscopy performed in ambulatory setting using three different hysteroscopes: 5 mm Hamou II ( n = 300), 5 mm Bettocchi ( n = 300) and 4 mm Bettocchi ( n = 300). Endpoints of our study were the successful rate of hysteroscopy, the eventual side effects/complication and the pain intensity experience from the patients using visual analog scale (VAS). Results: Use of 4 mm Bettocchi leads to a higher rate of successfully performed hysteroscopy (99 %, n = 297) and statistically significant when compared to the 5 mm Hamou (95 %, n = 285) and to the 5 mm Bettocchi (96 %, n = 288) (4 mm Bettocchi vs. 5 mm Bettocchi p < 0.05; 4 mm Bettocchi vs. 5 mm Hamou II p < 0,001; 5 mm Bettocchi vs. 5 mm Hamou II ns). Moreover, the VAS score was higher using 5 mm Hamou II (5.72 ± 1.99) and statistically significant when compared to the 4 mm Bettocchi (3.06 ± 2.14) and to the 5 mm Bettocchi (4.27 ± 1.88) (A vs. B p < 0.05; A vs. C p < 0.001; B vs. C p < 0.001). Conclusions: Our result suggests that the hysteroscope size plays a pivotal role in the acceptance and for the success of office hysteroscopy.
- Subjects
HEALTH outcome assessment; HYSTEROSCOPY; UTERUS examination; ENDOSCOPY; MEDICAL equipment; GYNECOLOGY
- Publication
Archives of Gynecology & Obstetrics, 2013, Vol 288, Issue 6, p1355
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-013-2932-7