Author(s): van Kerkvoorde TC, Veersema S, Timmermans A
STUDY OBJECTIVE: To estimate the long-term complication rate of office hysteroscopy with the vaginoscopic approach.
DESIGN: Retrospective cohort study (Canadian Task Force classification II-A).
SETTING: University-affiliated teaching hospital with outpatient hysteroscopy facilities.
PATIENTS: Between January 2005 and October 2007, all consecutive patients undergoing office hysteroscopy with the vaginoscopic approach were analyzed, 1028 procedures in total.
INTERVENTIONS: Therapeutic or diagnostic office hysteroscopy with the vaginoscopic approach. The complication registration of the gynecology department and a random sample of one third of the medical records were analyzed for long-term complications.
MEASUREMENTS AND MAIN RESULTS: Of the 1028 hysteroscopic procedures, 622 (60%) were diagnostic, 328 (32%) were therapeutic hysteroscopic procedures, and 78 (8%) procedures failed. In the complication registration and in the medical charts, 1 significant complication could be identified. CONCLUSIONS: Office hysteroscopy with the vaginoscopic approach is a safe procedure. This study showed an extremely low risk of long-term complicationsGynecology & Obstetrics