Official Hysteroscopy: State of the Art and Literature Review

Histeroscopia oficinal: Estado del arte y revisión de la literatura

Objective: to describe the state of art of the official hysteroscopy and review the evidence in relation to acceptance, tolerance and benefits. Methodology: search in the databases PUBMED, COCHRANE, LILACS using the terms Office Hysteroscopy in English and Spanish published in the last ten years, which were available in full text, in addition, the EMBASE database was searched with additional limits of meta-analysis or systematic review. Some management guides and other relevant articles were included from the bibliographic references of the initial searches. Conclusions: it is considered an effective procedure for the diagnosis and treatment of intrauterine pathology, it is minimally invasive and of high degree of safety with an adequate technique. It has been accepted and well tolerated by patients, even without requiring anesthesia. Abbreviations: HUA, abnormal uterine bleeding; HO, official hysteroscopy.

1. Kotdawala P, Kotdawala S, Nagar N. Evaluation of endometrium in peri-menopausal abnormal uterine bleeding. J Midlife Health. 2013; 4(1):16-21.

2. American College of Obstetricians and Gynecologists. Technology assessment No. 7: Hysteroscopy. Obstet Gynecol. 2011; 117(6):1486-91.

3. Munro MG, Critchley HO, Broder MS, Fraser IS, FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011; 113(1):3-13.

4. Valle RF. Development of hysteroscopy: from a dream to a reality, and its linkage to the present and future. J Minim Invasive Gynecol. 2007; 14(4):407-18.

5. Bettocchi S, Nappi L, Ceci O, Selvaggi L. Office hysteroscopy. Obstet Gynecol Clin North Am. 2004; 31(3):641-54, xi.

6. Emanuel MH. New developments in hysteroscopy. Best Pract Res Clin Obstet Gynaecol. 2013;27(3):421-9.

7. Cooper NA, Smith P, Khan KS, Clark TJ. A systematic review of the effect of the distension medium on pain during outpatient hysteroscopy. Fertil Steril. 2011; 95(1):264-71.

8. Craciunas L, Sajid MS, Howell R. Carbon dioxide versus normal saline as distension medium for diagnostic hysteroscopy: a systematic review and meta-analysis of randomized controlled trials. Fertil Steril. 2013; 100(6):1709-14.e1-4.

9. Munro MG, Storz K, Abbott JA, Falcone T, Jacobs VR, Muzii L, et al. AAGL Practice Report: Practice Guidelines for the Management of Hysteroscopic Distending Media: (Replaces Hysteroscopic Fluid Monitoring Guidelines. J Minim Invasive Gynecol. 2013; 20(2):137-48.

10. Bastu E, Celik C, Nehir A, Dogan M, Yuksel B, Ergun B. Cervical priming before diagnostic operative hysteroscopy in infertile women: a randomized, double-blind, controlled comparison of 2 vaginal misoprostol doses. Int Surg. 2013; 98(2):140-4.

11. Ben-Chetrit A, Eldar-Geva T, Lindenberg T, Farhat M, Shimonovitz S, Zacut D, et al. Mifepristone does not induce cervical softening in non-pregnant women. Hum Reprod. 2004; 19(10):2372-6.

12. Cooper NA, Smith P, Khan KS, Clark TJ. Does cervical preparation before outpatient hysteroscopy reduce women’s pain experience? A systematic review. BJOG. 2011; 118(11):1292-301.

13. Hassa H, Aydin Y, Oge T, Cicek K. Effectiveness of vaginal misoprostol and rectal nonsteroidal anti-inflammatory drug in vaginoscopic diagnostic outpatient hysteroscopy in primarily infertile women: double-blind, randomized, controlled trial. J Minim Invasive Gynecol. 2013; 20(6):880-5.

14. Esin S, Baser E, Okuyan E, Kucukozkan T. Comparison of sublingual misoprostol with lidocaine spray for pain relief in office hysteroscopy: a randomized, double-blind, placebo-controlled trial. J Minim Invasive Gynecol. 2013; 20(4):499-504.

15. Filiz T, Doğer E, Corakçı A, Ozeren S, Calışkan E. The efficacy, cost and patient satisfaction of classic versus office hysteroscopy in cases with suspected intrauterine space occupying lesions with 3-dimension ultrasound and abnormal uterine bleeding. J Turk Ger Gynecol Assoc. 2009; 10(4):189-93.

16. van Kerkvoorde TC, Veersema S, Timmermans A. Long-term complications of office hysteroscopy: analysis of 1028 cases. J Minim Invasive Gynecol. 2012; 19(4):494-7.

17. van Dongen H, Timmermans A, Jacobi CE, Elskamp T, de Kroon CD, Jansen FW. Diagnostic hysteroscopy and saline infusion sonography in the diagnosis of intrauterine abnormalities: an assessment of patient preference. Gynecol Surg. 2011; 8(1):65-70.

18. Guida M, Di Spiezio Sardo A, Acunzo G, Sparice S, Bramante S, Piccoli R, et al. Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study. Hum Reprod. 2006; 21(12):3253-7.

19. McMartin K. Hysteroscopic tubal sterilization: an evidence-based analysis. Ont Health Technol Assess Ser. 2013; 13(21):1-35.

20. Kasius JC, Broekmans FJ, Fauser BC, Devroey P, Fatemi HM. Antibiotic prophylaxis for hysteroscopy evaluation of the uterine cavity. Fertil Steril. 2011; 95(2):792-4.

21. Gregoriou O, Bakas P, Grigoriadis C, Creatsa M, Sofoudis C, Creatsas G. Antibiotic prophylaxis in diagnostic hysteroscopy: is it necessary or not?. Eur J Obstet Gynecol Reprod Biol. 2012; 163(2):190-2.

22. Alanís Fuentes J, Amoroso Hernández MA. [Of office hysteroscopy for the removal of intrauterine device. Literature review]. Ginecol Obstet Mex. 2009; 77(4):197-201.

23. Fonseca MD, Sessa FV, Resende JA, Guerra CG, Andrade CM, Crispi CP. Identifying predictors of unacceptable pain at office hysteroscopy. J Minim Invasive Gynecol. 2014 Jul-Aug; 21(4):586-91.

24. Sharma JB, Aruna J, Kumar P, Roy KK, Malhotra N, Kumar S. Comparison of efficacy of oral drotaverine plus mefenamic acid with paracervical block and with intravenous sedation for pain relief during hysteroscopy and endometrial biopsy. Indian J Med Sci. 2009; 63(6):244-52.

25. Munro MG, Brooks PG. Use of local anesthesia for office diagnostic and operative hysteroscopy. J Minim Invasive Gynecol. 2010; 17(6):709-18.

26. Van den Bosch T, Van Schoubroeck D, Daemen A, Domali E, Vandenbroucke V, De Moor B, et al. Lidocaine does not reduce pain perception during gel instillation sonography or subsequent office hysteroscopy: results of a randomized trial. Gynecol Obstet Invest. 2011; 71(4):236-9.

27. Van den Bosch T, Betsas G, Van Schoubroeck D, Daemen A, Vandenbroucke V, Cornelis A, et al. Gel infusion sonography in the evaluation of the uterine cavity. Ultrasound Obstet Gynecol. 2009; 34(6):711-4.

28. Ahmad G, Attarbashi S, O’Flynn H, Watson AJ. Pain relief in office gynaecology: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2011; 155(1):3-13.

29. Shahid A, Pathak M, Gulumser C, Parker S, Palmer E, Saridogan E. Optimum uterine filling pressure for outpatient diagnostic hysteroscopy: a double-blind, randomized controlled trial. Reprod Biomed Online. 2014; 28(1):86-91.

30. Camanni M, Bonino L, Tessarolo M, Migliaretti G, Ferrero B, Deltetto F. Is it possible to obtain a presurgical Lasmar score for hysteroscopic myomectomy by ultrasound alone? Ultrasound Obstet Gynecol. 2012; 40(1):106-11.

31. Guven S, Kart C, Unsal MA, Odaci E. Intramural leoimyoma without endometrial cavity distortion may negatively affect the ICSI - ET outcome. Reprod Biol Endocrinol. 2013; 11: 102.

32. Karayalçin R, Ozyer S, Ozcan S, Uzunlar O, Gürlek B, Moraloğlu O, et al. Office hysteroscopy improves pregnancy rates following IVF. Reprod Biomed Online. 2012; 25(3):261-6.

33. Kasius JC, Eijkemans RJ, Mol BW, Fauser BC, Fatemi HM, Broekmans FJ. Cost-effectiveness of hysteroscopy screening for infertile women. Reprod Biomed Online. 2013; 26(6):619-26.

34. Bakas P, Hassiakos D, Grigoriadis C, Vlahos N, Liapis A, Gregoriou O. Role of hysteroscopy prior to assisted reproduction techniques. J Minim Invasive Gynecol. 2014; 21(2):233-7.

35. Pansky M, Feingold M, Sagi R, Herman A, Schneider D, Halperin R. Diagnostic hysteroscopy as a primary tool in a basic infertility workup. JSLS. 2006; 10(2):231-5.

36. Fatemi HM, Kasius JC, Timmermans A, van Disseldorp J, Fauser BC, Devroey P, et al. Prevalence of unsuspected uterine cavity abnormalities diagnosed by office hysteroscopy prior to in vitro fertilization. Hum Reprod. 2010;25(8):1959-65.

37. Smit JG, Kasius JC, Eijkemans MJ, Koks CA, Van Golde R, Oosterhuis JG, et al. The inSIGHT study: costs and effects of routine hysteroscopy prior to a first IVF treatment cycle. A randomised controlled trial. BMC Womens Health. 2012;12:22.

38. Koskas M, Mergui JL, Yazbeck C, Uzan S, Nizard J. Office hysteroscopy for infertility: a series of 557 consecutive cases. Obstet Gynecol Int. 2010; 2010: 168096.

39. El-Toukhy T, Sunkara SK, Coomarasamy A, Grace J, Khalaf Y. Outpatient hysteroscopy and subsequent IVF cycle outcome: a systematic review and metaanalysis. Reprod Biomed Online. 2008; 16(5):712-9.

40. Pundir J, Pundir V, Omanwa K, Khalaf Y, El-Toukhy T. Hysteroscopy prior to the first IVF cycle: a systematic review and meta-analysis. Reprod Biomed Online. 2014; 28(2):151-61.

41. Souza CA, Schmitz C, Genro VK, Martins A, Scheffel C, Oppermann ML, et al. Office hysteroscopy study in consecutive miscarriage patients. Rev Assoc Med Bras. 2011;57(4):397-401.

42. Rosa-E-Silva JC, Barcelos ID, Navarro PA, Rosa-E-Silva AC, Nogueira AA, Ferriani RA. Osseous metaplasia of the endometrium associated with infertility: a case report and review of the literature. J Med Case Rep. 2009; 3:7427.

43. De Angelis C, Santoro G, Re ME, Nofroni I. Office hysteroscopy and compliance: mini-hysteroscopy versus traditional hysteroscopy in a randomized trial. Hum Reprod. 2003; 18(11):2441-5.

44. Ngu SF, Cheung VY, Pun TC. Randomized study of vaginoscopy and H Pipelle vs traditional hysteroscopy and standard Pipelle. J Minim Invasive Gynecol. 2012; 19(2):206-11.

45. Negm SM, Kamel RA, Abuhamila FA. Three-dimensional sonohysterography compared with vaginoscopic hysteroscopy for evaluation of the uterine cavity in patients with recurrent implantation failure in in vitro fertilization cycles. J Minim Invasive Gynecol. 2012; 19(4):503-8.

46. Cicinelli E. Hysteroscopy without anesthesia: review of recent literature. J Minim Invasive Gynecol. 2010; 17(6):703-8.