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Titolo:
Outpatient hysteroscopy for the investigation of postmenopausal bleeding
Autore:
Wieser, F; Albrecht, A; Kurz, C; Wenzl, R; Nagele, F;
Indirizzi:
Univndlung,, Klin Frauenheilkunde, Abt Gynakol Endokrinol & Sterilitatsbeha Univ Vienna Vienna Austria A-1090 t Gynakol Endokrinol & Sterilitatsbeha
Titolo Testata:
WIENER KLINISCHE WOCHENSCHRIFT
fascicolo: 7, volume: 111, anno: 1999,
pagine: 289 - 293
SICI:
0043-5325(19990409)111:7<289:OHFTIO>2.0.ZU;2-G
Fonte:
ISI
Lingua:
GER
Soggetto:
HORMONE REPLACEMENT THERAPY; PLACEBO-CONTROLLED TRIAL; DIAGNOSTIC HYSTEROSCOPY; TRANSVAGINAL SONOGRAPHY; PANORAMIC HYSTEROSCOPY; ENDOMETRIAL RESECTIONS; TOPICAL ANESTHESIA; DIRECTED BIOPSIES; WOMEN; DILATATION;
Keywords:
outpatient hysteroscopy; postmenopausal bleeding; HRT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Wieser, F Univndlung,, Klin Frauenheilkunde, Abt Gynakol Endokrinol & Sterilitatsbeha Univ Vienna Wahringer Gurtel 18-20 Vienna Austria A-1090 tsbeha
Citazione:
F. Wieser et al., "Outpatient hysteroscopy for the investigation of postmenopausal bleeding", WIEN KLIN W, 111(7), 1999, pp. 289-293

Abstract

Introduction: Diagnostic hysteroscopy is the most precise procedure to evaluate diseases involving the uterine cavity. There is, however, only limited data concerning the use of hysteroscopy carried out as an outpatient procedure in patients with postmenopausal bleeding. Materials and methods: In this study we report on 360 postmenopausal patients with erratic bleeding, who were referred to our outpatient hysteroscopyclinic. 185 women had frank postmenopausal bleeding (PMB) and another 175 had abnormal uterine bleeding while taking hormone replacement therapy (AUB). The mean age was 57.9 years (range: 42-86). All hysteroscopies were performed using a standard 5-mm hysteroscope with a 30 degrees fore-oblique lens; the uterine cavity was generally distended with normal saline. Results: Outpatient hysteroscopy was performed successfully in 339 patients (94.2%). In 166 cases (46.1%) cervical dilatation was neccesary, and 138 required (38.3%) intracervical anaesthesia. Intrauterine pathology was diagnosed in 49.6% of cases, with endometrial polyps (20.9%) and fibroids (15.9%) being the most common abnormalities. While there was no difference in the incidence of intrauterine lesions between patients with AUB and those with PMB, endometrial carcinoma was more common in the latter group (PMB: n = 11 vs. AUB: n=1; p < 0.002). Conclusion: Due to its high accuracy and patient acceptance, outpatient diagnostic hysteroscopy should become a first line investigation in postmenopausal patients with bleeding disorders.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 23:41:37