A novel technique of vagino‐hysteroscopy using alginate gel interface: A proof of concept study

Abstract

In 1996, Bettocchi et al. 1 ushered in "a new era of office hysteroscopy" by introducing the vaginoscopic approach, obviating the need for preliminary instrumentation or local anesthesia. The vaginoscopic "no-touch" approach is considered superior to the standard speculum approach in terms of patient tolerability, 2 success rates, and operative time. 3 The reported success rate of standard vaginoscopic technique ranges from 80% to 90% in various studies.The main reasons reported for failure of the standard vaginoscopic technique are cervical stenosis and sub-optimal visualization due to leakage of distension medium especially in women with patulous