Prospective multicentre randomized controlled trial to evaluate factors influencing the success rate of office diagnostic hysteroscopy

Campo, Rudi; Molinas, Carlos Roger; Rombauts, Luk; Mestdagh, G; Lauwers, M C; Braekmans, Paul; Brosens, Ivo; Belle, Yves Van; Gordts, Stephan

doi:10.1093/humrep/deh559

Cited by 139 publications

(96 citation statements)

References 19 publications

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“…Compared with other blind intrauterine applications, the IBS® allows us to perform procedures under visual control and to remove the tissue chips in an automated and straightforward way. As it has been proven in randomized controlled trials [27], the reduction of the instrument diameter improves the accessibility of ambulatory diagnostic hysteroscopy. The absence of complications during the cervical dilatation time enabled by the IBS® indicates that its small size enhances its usability.…”

Section: Discussionmentioning

confidence: 97%

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

et al. 2014

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From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS® or the Versapoint® bipolar resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS® and 51 with the Versapoint®. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS® has been able to treat respectively 93.5 % (p=0.3753) and 62.5 % (p=0.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS® Group than in the Versapoint® Group (p=0.0067). Although no significative difference in terms of time of resection, the IBS® has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS® can be considered a valid alternative to the conventional resectoscope.

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Section: Discussionmentioning

confidence: 97%

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

et al. 2014

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“…A futuro sería pertinente evaluar los resultados de fertilidad tras su realización, y establecer la relación entre resultados de tratamiento de fertilidad y manejo de patologías endocavitarias específicas. También es importante determinar requerimientos anestésicos (13) y, si se requiere, la preparación cervical (23).…”

Section: Discussionunclassified

Seguridad de la histeroscopia oficinal en una unidad de fertilidad. Bogotá, Colombia, 2011-2016. Cohorte retrospectiva

Díaz-Yamal

Uscátegui-Diago

Castañeda-Castañeda

et al. 2017

Rev. Colomb. Obstet. Ginecol.

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Objetivo: describir los hallazgos, el nivel de dolor y las complicaciones de la histeroscopia oficinal en el estudio de la paciente infértil. Materiales y métodos: cohorte retrospectiva de mujeres sometidas a histeroscopia oficinal por historia de falla de implantación, con estudio ecográfico previo normal, entre enero de 2011 y marzo de 2016, en una unidad de fertilidad que atiende pacientes particulares y de medicina prepagada. Se excluyeron las pacientes que no continuaron seguimiento en esta institución. Muestreo consecutivo. Se evaluaron variables sociodemográficas, clínicas, hallazgos intraoperatorios, causas de cancelación, nivel de dolor, complicaciones intraoperatorias o posoperatorias. Se realizó análisis descriptivo. Resultados: de un total de 195 pacientes que cumplieron los criterios de selección se incluyeron 171. Se excluyeron 24 pacientes que no terminaron su tratamiento en esta Unidad. Las pacientes incluidas tenían una mediana de edad de 40 años (RIQ 36-43 años); de ellas, el 86 % nulíparas, y 42 % con diagnóstico de infertilidad primaria, 39 % secundaria y 20 % terciaria. En el 59 % de los casos se encontraron alteraciones endometriales. En el 7,6 % se encontró más de un hallazgo patológico. Hubo una frecuencia de complicaciones de 3 % (dolor y efecto vasovagal), sin complicaciones mayores, y una frecuencia de cancelación de 8 %. Conclusiones: la HSC oficinal con abordaje vaginoscópico es un procedimiento seguro, con buena tolerancia, seguridad y con bajo riesgo de complicaciones a corto y largo plazo.

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“…However, pain is a recognized limitation of the procedure and the most common cause of failure 1,14 . In a prospective study on 558 patients undergoing OH, 32.3% of patients experienced severe pain 15 .…”

Section: Discussionmentioning

confidence: 99%

“…In reproductive setting, it has become an invaluable tool for the assessment of uterine cavity in patients with infertility, recurrent implantation failure and recurrent miscarriage. In a study by Campo et al, in 2005, infertility was the indication of the procedure in 46 % of patients 1 .…”

Section: Introductionmentioning

confidence: 99%

Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study

2017

Evidence Based Women's Health Journal

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Objective: To study the impact of tubal blockage on pain experienced during and immediately after diagnostic outpatient hysteroscopy. Study design: A prospective comparative study (Canadian Task Force Classification II-2). Setting: Outpatient hysteroscopy clinic at a University Hospital. Patients and Methods:We included 140 women in the childbearing period attending outpatient hysteroscopy clinic for infertility or recurrent miscarriage. Patients were divided into two equal groups; Group-A included those with unilateral or bilateral tubal block (n=70) and Group-B included those with patent tubes on both sides (n =70). All patients had diagnostic outpatient hysteroscopy without the use of anaesthesia or analgesia. Outcomes measured included pain experienced during and immediately after the procedure assessed using a 100 mm -Visual Analogue Scale (VAS) and the successful completion of the procedure. Results: Patients with blocked tubes experienced statistically significant more pain than those with patent tubes both during and immediately after the procedure using a uterine filling pressure of 80 -100 mmHg. However, all procedures were successfully completed with no failures or complications. Conclusion: Blocked Fallopian tubes contribute to pain during and immediately after outpatient hysteroscopy when a uterine filling pressure of 80-100 mmHg is used. However, this didn't adversely affect the success rate of the procedure. For this group of patients, strategies to improve patients' satisfaction need to be studied with a special attention for; the use of lower uterine filling pressures, shortening the procedure duration and/or the use of preemptive analgesics.

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Prospective multicentre randomized controlled trial to evaluate factors influencing the success rate of office diagnostic hysteroscopy

Cited by 139 publications

References 19 publications

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

Seguridad de la histeroscopia oficinal en una unidad de fertilidad. Bogotá, Colombia, 2011-2016. Cohorte retrospectiva

Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study

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