Article first published online: 12 JUL 2013
© 2013 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 15, Issue 3, pages 159–166, July 2013
How to Cite
Ambulatory hysteroscopy. The Obstetrician & Gynaecologist 2013;15:159–66., .
- Issue published online: 12 JUL 2013
- Article first published online: 12 JUL 2013
- Manuscript Accepted: 15 FEB 2013
- Manuscript Revised: 8 FEB 2013
- Manuscript Received: 23 DEC 2011
- ‘see and treat’
- Routine diagnostic hysteroscopy under general anaesthesia is an anachronism.
- Evidence-based RCOG guidance should be followed to ensure best practice in outpatient hysteroscopy.
- The role of hysteroscopy in the diagnostic work-up of abnormal bleeding and reproduction remains unclear and further research is required to elucidate where it can be used most cost-effectively.
- A ‘no touch’ vaginoscopic technique should be employed routinely as this approach reduces pain during diagnostic rigid outpatient hysteroscopy and facilitates operative procedures by improving manipulation of miniature endoscopic equipment.
- A contemporary outpatient hysteroscopy service should be able to provide surgical treatments for uterine polyps, small fibroids, lost coils, minor uterine anomalies, menstrual disorders and permanent contraception.
- Can we justify subjecting women, especially those with significant medical co-morbidities, to the risks and inconvenience of general anaesthesia for hysteroscopic procedures?