1 research outputs found
Indications of diagnostic hysteroscopy, a brief review of the literature
Plenty of authors propose outpatient hysteroscopy
as the gold standard diagnostic method for the
evaluation of endometrial pathology. This statement has
been strengthened in the recent years due to the wide use of
smaller diameter hysteroscopic devices, which have made
the dilation of the cervix and the use of anesthesia
unnecessary. The main purpose of this paper is to
summarize the indications of diagnostic hysteroscopy. In
this review, we used the most recent publications in
MEDLINE and Cochrane Library in order to specify the
indications of diagnostic hysteroscopy and the experience
that have been obtained till today in the management of
certain pathological uterine conditions. The key words we
used were diagnostic hysteroscopy, abnormal uterine
bleeding, infertility, endometrial cancer. Hysteroscopy provides
an accurate method of evaluation and direct visualization
of the endometrial cavity and moreover directed biopsy
and sampling of suspected lesions. Last years with the
continuous development in the hysteroscopy devices, plenty
of women benefit surgical hysteroscopy techniques for uterine abnormalities. Hysteroscopy is useful for the diagnosis in
patients with abnormal uterine bleeding, with endometrial
cancer and in infertile women. Hysteroscopy has the unique
advantage of combining a thorough procedure with great
diagnostic accuracy. The only disadvantage is that hysteroscopy
requires specific teaching and training and has a long
learning curve