Indications of Diagnostic Hysteroscopy, a Brief Review of the Literature

Daniilidis A, Pantelis A, Dinas K, Tantanasis T, Loufopoulos PD, Angioni S, et al. Indications of diagnostic hysteroscopy, a brief review of the literature. Gynecol Surg. 2012;9(1):23–8.

Plenty of authors propose outpatient hystero-scopy as the gold standard diagnostic method for theevaluation of endometrial pathology. This statement hasbeen strengthened in the recent years due to the wide use ofsmaller diameter hysteroscopic devices, which have madethe dilation of the cervix and the use of anesthesiaunnecessary. The main purpose of this paper is tosummarize the indications of diagnostic hysteroscopy. Inthis review, we used the most recent publications inMEDLINE and Cochrane Library in order to specify theindications of diagnostic hysteroscopy and the experiencethat have been obtained till today in the management ofcertain pathological uterine conditions. The key words weused were diagnostic hysteroscopy, abnormal uterinebleeding, infertility, endometrial cancer. Hysteroscopy provides an accurate method of evaluation and direct visualiza-tion of the endometrial cavity and moreover directed biopsyand sampling of suspected lesions. Last years with thecontinuous development in the hysteroscopy devices, plentyof women benefit surgical hysteroscopy techniques for uterine abnormalities. Hysteroscopy is useful for the diagnosis inpatients with abnormal uterine bleeding, with endometrialcancer and in infertile women. Hysteroscopy has the uniqueadvantage of combining a thorough procedure with greatdiagnostic accuracy. The only disadvantage is that hystero-scopy requires specific teaching and training and has a longlearning curve.

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