Numerous indications for office flexible minihysteroscopy

Study Objective. To evaluate the feasibility of diagnostic office flexible minihysteroscopy for general gynecology, infertility, oncology, and urogyne cology examinations. Design. Prospective cohort analysis (Canadian Task Force classification II- 2). Setting. Private clinic. Patients. Five hundred thirty-eight women. Intervention, Diagnostic hysteroscopy or cystourethroscopy. Measurements and Main Results. Office flexible minihysteroscopes 2.5 and 3. 5 mm were successfully used in 384 patients to evaluate abnormal and postme nopausal bleeding, intrauterine device location, secondary amenorrhea, seve re dysmenorrhea, infertility, tubal patency, and selective tubal inseminati on. Of these, 382 women (99.5%) were examined without local anesthesia or c ervical dilatation. Biopsies with 3F instruments and tubal cannulations wer e performed without difficulty where indicated. In 225 patients, flexible m inihysteroscopes were used to evaluate the genitourinary tract for symptoms of urethritis, interstitial cystitis, and urinary incontinence. Dynamic cy stourethroscopy was done to examine the integrity of the bladder neck with hold command, cough, and maximum Valsalva maneuver. There were no unsuccess ful hysteroscopic or cystoscopic examinations. Conclusion. Flexible minihysteroscopes can be successfully used in an offic e setting for both gynecologyic and urogynecologyic indications with high p atient acceptance. The procedure is rapid and saves physician time.