Improved Patient Compliance using Pediatric Cystoscope during Office Hysteroscopy

Pansky, Moty; Feingold, Mordechai; Bahar, Rachel; Neeman, Ortal; Asiag, Ofer; Herman, Amir; Sagiv, Ron

doi:10.1016/s1074-3804(05)60211-3

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…This instrument requires cervical dilatation, and therefore it usually cannot be carried out in an outpatient setting. Recently, new instruments and techniques were developed to increase the number of procedures that can be carried out in an outpatient setting (5)(6)(7)(8)(9). One of the most promising classes of instruments is the electric probe, which allows surgeons to perform operative hysteroscopy without cervical dilatation, and with the same instrumentation adopted for diagnosis.…”

mentioning

confidence: 99%

Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study

Muzii

Bellati

Pernice

et al. 2007

Fertility and Sterility

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mentioning

confidence: 99%

Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study

Muzii

Bellati

Pernice

et al. 2007

Fertility and Sterility

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“…Low rate of complications had been reported in MR group. [ 23 ] The volume of fluid used for distension was much less with smaller hysteroscope in a study by Youssef[ 17 ] (710 ± 120.4 vs. 1103 ± 350.5 ml, P < 0.001). However, in our study, fluid deficit in Group A was not statistically significantly different from Group B (320.0 ± 59.5 ml in Group A vs. 350.0 ± 58.6 ml in Group B).…”

Section: Discussionmentioning

confidence: 99%

A prospective randomized comparative clinical trial of hysteroscopic septal resection using conventional resectoscope versus mini-resectoscope

et al. 2021

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Context: Hysteroscopic metroplasty (HM) is the gold standard treatment for women with septate uterus with recurrent pregnancy loss. Miniresectoscope requires less cervical dilatation as compared to conventional resectoscope. Very few studies are available in the literature on use of miniresectoscope for operative purpose. Aim of the Study: This study aimed to compare operative and postoperative outcome parameters using conventional versus mini resectoscope (MR) for hysteroscopic septal resection (HSR). Study Settings and Design: This was a prospective randomized controlled trial conducted in the Department of Obstetrics and Gynaecology from July 2017 to May 2019. Materials and Methods: Forty patients fulfilling the inclusion criteria were recruited and randomized into two groups. In Group A (20 patients), HSR was done using conventional resectoscope (CR) and in Group B (20 patients), MR was used. The various parameters recorded were cervical dilatation time, operating time, intraoperative complications, postoperative pain, and hospital stay and reproductive outcome post surgery in both groups. Results: Data analysis was carried out using SPSS IBM software version 20.0. The mean operating time was comparable but cervical dilatation time was significantly more in Group A. The duration of hospital stay was significantly less in Group B. There were no differences in adequacy of vision in both the groups but area of field was less in MR group. Four out of nine patients with infertility conceived after surgery. 65% in Group A and 70% in Group B conceived during follow up. Conclusion: Our study showed that hysteroscopic metroplasty with MR, has comparable efficacy to CR in terms of good vision and septal resectability with added advantages of shorter cervical dilatation time, ease of entry of resectoscope, shorter operative time and significantly reduced postoperative morbidity in terms of less pain. However, the field of vision is less and resection time is more, hence more expertise is required. Further larger randomized trials are required.

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Can we rely on blind endometrial biopsy for detection of focal intrauterine pathology?

Svirsky¹,

Smorgick²,

Rozowski³

et al. 2008

American Journal of Obstetrics and Gynecology

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Improved Patient Compliance using Pediatric Cystoscope during Office Hysteroscopy

Cited by 8 publications

References 9 publications

Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study

Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study

A prospective randomized comparative clinical trial of hysteroscopic septal resection using conventional resectoscope versus mini-resectoscope

Can we rely on blind endometrial biopsy for detection of focal intrauterine pathology?

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