What does 'diagnostic hysteroscopy' mean today? The role of the new techniques

Current Opinion in Obstetrics and Gynecology

Volumn 15, Issue 4, 2003, Pages 303-308

  Bettocchi, Stefano ^a,b   Nappi, Luigi ^a   Ceci, Oronzo ^a   Selvaggi, Luigi ^a  

^a UNIVERSITY OF BARI   (Italy)

^b POLICLINICO   (Italy)

Author keywords

Endometrial biopsy; Hysteroscopy; Office hysteroscopy; Operative hysteroscopy; Uterine distention; Vaginoscopical approach; Vaginoscopy

Indexed keywords

DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; ENDOMETRIUM BIOPSY; HUMAN; HYSTEROSCOPE; HYSTEROSCOPY; POLYP; PRIORITY JOURNAL; REVIEW; SURGICAL TECHNIQUE; UTERINE CERVIX; UTERINE CERVIX DILATATION; UTERUS; UTERUS CAVITY;

FEMALE; HUMANS; HYSTEROSCOPY; UTERINE DISEASES;

EID: 0141629462     PISSN: 1040872X     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001703-200308000-00002     Document Type: Review

References (30)

1. Gimpelson RJ, Rappold HO. A comparative study between panoramic hysteroscopy with directed biopsies and dilatation and curettage: a review of 276 cases. Am J Obstet Gynecol 1988; 158:489-492.
2. Loffer FD. Hysteroscopy with selective endometrial sampling compared with D&C for abnormal uterine bleeding: the value of a negative hysteroscopic view. Obstet Gynecol 1989; 73:16-20.
3. Siegler AM. Therapeutic hysteroscopy. Acta Europ Fertilit 1986; 17:467-471.
4. Bettocchi S, Ceci O, Di Venere R, et al. Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr. bipolar electrode. Hum Reprod 2002; 17:2435-2438. This is the first and only paper to report a large number of patients operated on in an office setting without anesthesia or analgesia using a bipolar device. The technical aspect are clearly reported
5. Burkitt HG, Young B, Heath JW. The female genital organs. In: Wheater's functional histology. Longman Group UK Limited, London, UK; 1993. pp. 335-365.
6. Valle RF, Sciarra JJ. Hysteroscopy: a useful diagnostic adjunct in gynecology. Am J Obstet Gynecol 1975; 122:230-235.
7. Baggish MS. Contact hysteroscopy: a new technique to explore the uterine cavity. Obstet Gynecol 1979; 54:350-354.
8. Valle RF, Sciarra JJ. Current status of hysteroscopy in gynecologic practice. Fertil Steril 1979; 32:619-632.
9. Barbot J, Parent B, Dubuisson JB. Contact hysteroscopy: another method of endoscopic examination of the uterine cavity. Am J Obstet Gynecol 1980; 136:721-726.
10. Taylor PJ, Hamou JE. Hysteroscopy. J Reprod Med 1983; 28:359-389.
11. Valle RF. Hysteroscopy for gynecologic diagnosis. Clin Obstet Gynecol 1983; 26:253-276.
12. Vercellini P, Colombo A, Mauro F, et al. Paracervical anesthesia for outpatient hysteroscopy. Fertil Steril 1994; 62:1083-1085.
13. Lau WC, Lo WK, Tam WH, Yuen PM. Paracervical anaesthesia in outpatient hysteroscopy: a randomised double-blind placebo-controlled trial. Br J Obstet Gynaecol 1999; 106:356-359.
14. Zullo F, Pellicano M, Stigliano CM, et al. Topical anesthesia for office hysteroscopy: a prospective, randomized study comparing two modalities. J Reprod Med 1999; 44:865-869.
15. Bettocchi S, Selvaggi L. A vaginoscopic approach to reduce the pain of office hysteroscopy. J Am Assoc Gynecol Laparosc 1997; 4:255-258.
16. Soderstrom RM, Distending the uterus: what medium is best? Clin Obstet Gynecol 1992; 35:225-228.
17. Baker VL, Adamson GD. Intrauterine pressure and uterine distention. J Am Assoc Gynecol Laparosc 1998; 3:S53.
18. Campo R, Van Belle Y, Rombauts L, et al. Office mini-hysteroscopy. Hum Reprod Update 1999; 5:73-81.
19. Loverro G, Bettocchi S, Cormio G, et al. Diagnostic accuracy of hysteroscopy in endometrial hyperplasia. Maturitas 1996; 25:187-191.
20. Clark TJ, Voit D, Gupta JK, et al. Accuracy of hysteroscopy in the diagnosis of endometrial cancer and hyperplasia: a systematic quantitative review. JAMA 2002; 288:1610-1621. The first large review on one of the most critical aspects of the hysteroscopic diagnosis: the diagnosis of endometrial abnormalities. Very helpful to understand the necessity of targeted hysteroscopic biopsies.
21. Brill AI. What is the role of hysteroscopy in the management of abnormal uterine bleeding? Clin Obstet Gynecol 1995; 38:319-345.
22. Smith JJ, Schulman H. Current dilatation and curettage practice: a need for revision. Obstet Gynecol 1985; 65:516-518.
23. Grimes DA. Diagnostic dilation and curettage: a reappraisal. Am J Obstet Gynecol 1982; 142:1-6.
24. Dijkhuizen FP, Mol BW, Brolmann HA, Heintz AP. The accuracy of endometrial sampling in the diagnosis of patients with endometrial carcinoma and hyperplasia. Cancer 2000; 89:1765-1772.
25. Valle RF. Office hysteroscopy. Clin Obstet Gynecol 1999; 42:276-289.
26. Stock RJ, Kanbour A. Prehysterectomy curettage. Obstet Gynecol 1975; 45:537-541.
27. Agostini A, Cravello L, Rojat-Habib MC, et al. Evaluation of two methods for endometrial sampling during diagnostic hysteroscopy. J Gynecol Obstet Biol Reprod 1999; 28:433-438.
28. Colafranceschi M, van Herendael B, Perino A, et al. Reliability of endometrial biopsy under direct hysteroscopic control. Gynaecol Endosc 1995; 4:119-122.
29. Bakour SH, Khan KS, Gupta JK. Controlled analysis of factors associated with insufficient sample on outpatient endometrial biopsy. Br J Obstet Gynecol 2000; 107:1312-1314.
30. Bettocchi S, Di Venere R, Pansini N, et al. Endometrial biopsies using small-diameter hysteroscopes and 5F instruments: how can we obtain enough material for a correct histologic diagnosis? J Am Assoc Gynecol Laparosc 2002; 9:290-292. After years of confusion about the value of the targeted hysteroscopic biopsies and their inadequacy in terms of quantity of tissue biopsed, a clear demonstration on how to collect enough endometrium for a correct histological examination.