Journal of the Bahrain Medical Society
Year 2023, Volume 35, Issue 1, Pages 1-8
https://doi.org/10.26715/jbms.35_1_1Hosni Malas1,* , Stephanie Hsu2 , Yasmin Mohammed1
1Department of Obstetrics and Gynecology, King Hamad University Hospital, Busaiteen, Bahrain
2Research Department, King Hamad University Hospital, Busaiteen, Bahrain
*Corresponding author: Professor Hosni Malas. King Hamad University Hospital, Building 2435, Road 2835, Block 228, Busaiteen, Bahrain; Email:hosni.malas@khuh.org.bh
Received date: June 30, 2022; Accepted date: September 28, 2022; Published date: March 31, 2023
For figures and tables, please refer the pdf.
Abstract
Background & Objective: Office hysteroscopy (OH) is an efficient alternative for diagnosis and management of intrauterine pathology. The main goal of this study is to determine the usefulness and tolerability of OH in the patient population of a tertiary teaching hospital in the Kingdom of Bahrain.
Methods: The total population consists of 101 patients who were prospectively included in the study from 2018 to 2020. The main indication for OH were abnormal uterine bleeding followed by post-menopausal bleeding.
Results: The procedure was tolerable without analgesia in 93% of cases, analgesia was required in 3.96% of cases, and minor complications consisted of abdominal pain and dizziness (0.99%), as well as uterine bleeding (0.99 %). Given a success rate of 90% using a 1.8mm diameter hysteroscope, it can be concluded that OH with Etonox (N2O2) as an analgesic is a safe and feasible procedure for patients of varying ages and parities.
Conclusion: OH is particularly useful in the workup of abnormal uterine bleeding, post-menopausal bleeding, assisted IUCD removal, endometrial biopsy, and the removal of small polyps.
Keywords: Outpatient clinic, Office Hysteroscopy, Procedural sedation, Procedural tolerability, Gynecology, Minimally Invasive Therapy