Safety of office hysteroscopy in a fertility unit. Bogota, Colombia, 2011-2016. Retrospective cohort
DOI:
https://doi.org/10.18597/rcog.776Keywords:
Hysteroscopy, uterine endoscopy, outpatient care, diagnosisAbstract
Objective: To describe the findings, level of pain and complications of office hysteroscopy in the workup of the infertile patient.
Materials and methods: Retrospective cohort of women subjected to office hysteroscopy because of a history of implantation failure, with prior ultrasound scan, seen between January 2011 and March 2016 in a fertility unit that serves private patients under the pre-paid medicine regime. Patients who did not come back for follow-up at the institution were excluded. Consecutive sampling was used. Sociodemographic, clinical, intra-operative findings, reasons for cancellation, pain level, and intra-operative or post-operative complications were the variables evaluated. A descriptive analysis was performed.
Results: Of a total of 195 patients who met the selection criteria, 171 were included; 24 patients who did not complete treatment in this Unit were excluded. The mean age of the patients included was 40 years (IQR 36-43 years); 86 % were nulliparous; 42 % had a diagnosis of primary infertility, 39 % secondary infertility, and 20 % tertiary infertility. Endometrial abnormalities were found in 59 % of the cases. There was more than one pathologic finding in 7.6 % of cases. There was a 3 % frequency of complications (pain and vasovagal effect), with no major complications, as well as an 8 % frequency of cancellations.
Conclusions: Office hysteroscopy through the vaginal approach is a safe, well tolerated procedure, associated with a low risk of short and long-term complications.
Author Biographies
Ivonne Jeannette Díaz-Yamal
Especialista en Ginecología y Obstetricia; especialista en Reproducción Humana, Unidad de Fertilidad Procreación Médicamente Asistida, Clínica de Marly. Coordinadora de programa de Salud Reproductiva y Humana, Fundación Universitaria Sanitas, Bogotá (Colombia).
Angélica María Uscátegui-Diago
Especialista en Ginecología y Obstetricia; especialista en Salud
Reproductiva y Humana, Fundación Universitaria Sanitas, Bogotá (Colombia). angieuscategui80@hotmail.com
Jimmy Castañeda-Castañeda
Especialista en Ginecología y Obstetricia; especialista en Reproducción Humana, Unidad de Fertilidad Procreación Médicamente Asistida, Clínica de Marly. Programa de Salud Reproductiva y Humana, Fundación Universitaria Sanitas, Bogotá (Colombia).
Carlos Andrés Fandiño-Rodríguez
Especialista en Ginecología y Obstetricia; especialista en Reproducción Humana, Bogotá (Colombia).
Jaime Edward Villamil-Pérez
Especialista en Ginecología y Obstetricia; especialista en Reproducción Humana, Bogotá (Colombia).
Fernando Gómez-Corredor
Especialista en Ginecología y Obstetricia, Unidad de Infertilidad y Endocrinología Reproductiva, Unidad de Fertilidad Procreación
Médicamente Asistida, Clínica de Marly. Coordinador Departamento de Ginecología, Clínica de Marly, Bogotá (Colombia).
Mario Luis Pájaro-Corredor
Especialista en Ginecología y Obstetricia; especialista en Salud
Reproductiva y Humana, Fundación Universitaria Sanitas, Bogotá (Colombia).
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