Vaginoscopy for office hysteroscopy: A systematic review &amp; meta-analysis

Silva, Prathiba M. De; Carnegy, Alasdair; Smith, Paul; Clark, T. Justin

doi:10.1016/j.ejogrb.2020.06.045

Cited by 15 publications

(15 citation statements)

References 15 publications

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“…16 A study goes on to conclude that the traditional approach should only be used when vaginoscopy fails or when the need for cervical dilatation is anticipated. 17 In the study, the percentage of complications is rarely seen. Only one patient (2.27%) had experienced tachycardia during traditional hysteroscopy.…”

Section: Resultsmentioning

confidence: 97%

Comparative Evaluation of Vaginoscopic vs Traditional Hysteroscopy

Gupta¹,

Jahan²,

Yadav³

et al. 2021

World Journal of Laparoscopic Surgery With DVD

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Section: Resultsmentioning

confidence: 97%

Comparative Evaluation of Vaginoscopic vs Traditional Hysteroscopy

Gupta¹,

Jahan²,

Yadav³

et al. 2021

World Journal of Laparoscopic Surgery With DVD

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“…In our department, we perform hysteroscopic procedures with a vaginoscopic approach, without analgesia and anesthesia in office settings for most patients who apply to the gynecology outpatient clinic and require intracavitary imaging and intervention. In numerous retrospective and randomized studies to date, the vaginoscopic “no-touch” technique during an office hysteroscopy procedure is successful, less painful and faster compared with traditional techniques using a vaginal speculum and cervical grasped ( 7 , 8 ) . Moreover, those who have not had sexual intercourse, who are nulliparous, and who have genital tract atrophy or vaginismus benefit most from the vaginoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

“…The reasons for not completing the hysteroscopic procedure with the vaginoscopic approach include pain, anxiety, cervical stenosis, excessive flexion of the cervix, vasovagal reaction, a retroverted uterus and adhesions ( 5 , 7 , 18 ) . Between 83% and 98% of diagnostic procedures can be successfully performed with office hysteroscopy ( 7 , 8 , 13 , 19 , 20 ) . However, there are studies reported that the success of outpatient hysteroscopy varies between 44% and 99.5% ( 21 , 20 , 23 ) .…”

Section: Discussionmentioning

confidence: 99%

Does “no-touch” technique hysteroscopy increase the risk of infection?

Kovalak¹

2022

tjod

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Objective: Today, thanks to its many advantages, hysteroscopy with a vaginoscopic approach (no-touch) is increasingly being used more in outpatient diagnoses and treatments. However, there are concerns that the “no-touch” technique increases ascending genital tract infections since a speculum is not inserted, and disinfection of the cervix cannot achieve. Materials and Methods: Between 2011 and 2017, 302 patients who underwent office hysteroscopy with the vaginoscopic approach (group 1) and 254 patients who underwent hysteroscopy with the standard method under anesthesia in the operating room (group 2) were compared in terms of early complications (within two weeks postoperatively). The primary outcome was early postoperative infection, and the secondary outcome was other early complications, such as bleeding and rupture. Results: In this study, the success rate of hysteroscopy with the vaginoscopic approach was 96.4%. According to the visual analog scale scoring system, 88.7% of the patients described mild-to-moderate pain. When group 1 and 2 were compared in terms of postoperative infection (3% and 2.4%, respectively) and other early complication rates (0% and 0.8%, respectively), no statistically significant difference was found (p>0.05). Conclusion: Hysteroscopy with a vaginoscopic approach continues to be the gold standard method that is safe and well-tolerated by patients.

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“…This was in recognition of the miniaturisation of endoscopes and ancillary equipment over time that has facilitated hysteroscopic procedures being performed without the need for any other vaginal instrumentation, namely vaginal specula or forceps applied to the intravaginal cervix ( Bettocchi and Selvaggi, 1997 ; Sharma et a., 2005 ). These, “vaginoscopic” approaches are quicker and less painful ( Smith et al, 2019 ; De Silva et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%