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Volume: 55 Issue: 3 Year: 2024

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Five years outcomes of hysteroscopy experience in a tertiary center [Zeynep Kamil Med J]
Zeynep Kamil Med J. 2021; 52(1): 27-31 | DOI: 10.14744/zkmj.2019.801519

Five years outcomes of hysteroscopy experience in a tertiary center

Burak Sezgin1, Melike Nur Akın1, Eren Akbaba1, Ercan Saruhan2
1Department of Gynecology and Obstetrics, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey
2Department of Medical Biochemistry, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey

INTRODUCTION: We aimed to document our hysteroscopy (HS) experience for a period of 5 years in an academic hospital.
METHODS: Data from patients who underwent HS for any indication were retrospectively analyzed. The clinical and histopathological outcomes of patients with diagnostic or operative HS were documented.
RESULTS: The mean age of 202 patients included in the study was 42.83±9.58 years, their mean gravidy was 2.67±1.29, and their mean parity was 2.04±0.95. One hundred and sixty-two (80.2%) of the patients were at premenopausal period and 40 (19.8%) of them were at postmenopausal period. The most common comorbidities detected in patients were hypertension (9.4%), diabetes mellitus (4.5%), thyroid disease (4%), and breast cancer (3.5%), respectively. The mean pre-operative endometrial thickness was 12.80±6.10 mm. One hundred and thirty-five patients underwent saline infusion sonohysterography (SIS) procedure before HS, and a mass like lesion in the uterine cavity was detected in 97.8% of them. The average largest diameter of these intracavitary masses detected was 13.72±6.21 mm. Seven (3.5%) of all patients needed HS again. The most common indications for HS were menometrorrhagia (54.5%), polymenorrhea (14.4%), postmenopausal bleeding (10.9%), and infertility (9.4%). As a complication, uterine perforation was detected in 1 (0.5%) of cases and excessive bleeding in 2 (1%) of them. The most common localization of the masses in the uterine cavity was fundus (43.4%). As a result of histopathological examination, endometrial polyps were reported in 59 cases (70.3%) and myoma uteri in 21 (9.4%) cases.
DISCUSSION AND CONCLUSION: The most common reason for HS in our clinic was endometrial polyp. The most common symptom and surgical intervention were determined as menometrorrhagia and resection of polyp, respectively. In the detection of intracavitary lesions, the use of SIS before HS was a common procedure. Our complication rate was found to be low in line with the literature.

Keywords: Diagnostic hysteroscopy, endometrial polyp, operative hysteroscopy, saline infusion sonography, submucosal myoma.

Burak Sezgin, Melike Nur Akın, Eren Akbaba, Ercan Saruhan. Five years outcomes of hysteroscopy experience in a tertiary center. Zeynep Kamil Med J. 2021; 52(1): 27-31

Corresponding Author: Burak Sezgin, Türkiye
Manuscript Language: English
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