Current practical application of office endoscopy

Outpatient hysteroscopy has shown good correlation of findings compared wit h inpatient hysteroscopy, but one limitation is pain and discomfort in some women, and vasovagal reaction. Various forms of local anaesthesia have bee n evaluated in the past year, with controversial results, and a narrow 3.5 mm sheath hysteroscope has been introduced. Transvaginal hydrolaparoscopy a s an outpatient procedure has been further investigated. (C) 2001 Lippincot t Williams & Wilkins.