two-year review of hysteroscopic practice at Queen Alia Military Hospital

ABSTRACT

To present a review of all hysteroscopic procedures performed over a two years period. During the study period, 890 hysteroscopic procedures were performed at the Department of Gynecology and Obstetrics, Queen Alia Military Hospital Jordan between September 2009 to November 2011. Indications, intraoperative diagnoses, and complications were reviewed. Simple descriptive statistics, [frequency and percentage] were used to describe the variables. The most common indications for diagnostic hysteroscopy were abnormal uterine bleeding [45%], abnormal ultrasound findings [27%], infertility [15%], recurrent abortions [12%], and missed intrauterine contraceptive device [1%]. The most common diagnostic findings were submucous fibroid [19%], hyperplastic endometrium [17.8%], uterine polyps [16.7%], uterine septum [4.8%], endometrial carcinoma and atrophy [1.7%]. The most common pathologies to operative hysteroscopy were endometrial polyps [39.5%], missed intrauterine contraceptive device [16.3%], uterine septum [14.6%] submucous myomas [12.45%], and Asherman's syndrome [9%]. The complication rate was 1.2% of the total hysteroscopies. Cervical laceration and uterine perforation were the most common acute complications. Hysteroscopy is an easy, inexpensive and effective procedure for the diagnosis and treatment of intrauterine pathology. It is minimally invasive and can be used with a high degree of safety. Hysteroscopy must take its place as one of the basic diagnostic methods in gynaecology