Assessment of diagnostic potential of office mini-hysteroscopy in gynecologial diagnosis

ABSTRACT

To evaluate feasibility of diagnostic office mini-hysteroscopy for gynecological diagnosis. One hundred and fifty patients with different gynecologic problems were examined by transvaginal sonography [TVS]. An informed consent was obtained for examination by office mini-hysteroscopy; a Wolf rigid 2.7 mm hysteroscope was utilized. Endometrial biopsy was taken with vacuum aspiration curette in cases of abnormal uterine bleeding. The study revealed that TVS had sensitivity of 47.3% and specificity 67.2% as compared to 98.7% and 100% respectively for office hysteroscopy in the diagnosis of the whole study cases. In abnormal uterine bleeding, the diagnostic accuracy of office hysteroscopy showed 97% sensitivity and 100% specificity. Mini-hysteroscopic diagnosis of intra-uterine lesions was 100% sensitive and 100% specific. Office mini-hysteroscopy is an accurate, reliable and fast method for evaluation of intra-uterine pathology with minimal morbidity and high patient acceptance. It should be considered an indispensable modality for routine investigation in gynecologic diagnosis