ABSTRACT
BACKGROUND: In the last decade have developed small diameter instruments with pods streaming and highly efficient working channels that allow outpatient surgical procedures. OBJECTIVE: To evaluate the utility of operative office hysteroscopy with the use of the bipolar electrosurgical system. We analyzed clinical characteristics, results and patient acceptability. MATERIAL AND METHODS: We performed a descriptive study of 1591 operative hysteroscopies, using an office hysteroscopic procedure with Bipolar technology; with a 5.5 mm rigid hysteroscope Bettocchi type. RESULTS: The mean operating time was 8 min. The most common procedure was polypectomy. Severe pain and/or vagal reflex occurred in less than 0.7% of the patients. CONCLUSIONS: The Bipolar technology facilitates operative office hysteroscopy and allows resectoscopy to be reserved for the treatment of special cases. Patient acceptability is high.