Survey of Hysteroscopic Cases in Ain Shams Maternity Hospital in the Period between (2010-2014)

Abstract

ysteroscopy is the assessment of cervical canal and uterine cavity by direct endoscopic visualization (Guida et al., 2006). In addition to diagnostic purposes, diagnostic hysteroscopy can in same cases be extended to become a therapeutic hysteroscopy. This includes removal of an intrauterine foreign body, endometrial polyp and a submucous myoma. Using a rigid hysteroscopic forceps inserted along-side the hysteroscope the foreign body is grasped and removed. A pedunculated myoma or polyp can be grasped and twisted, separating it from the uterine wall (Bettocchi et al., 2004). The advantages of outpatient hysteroscopy for the woman are the avoidance of a general anesthetic, a more rapid assessment (especially if it is part of a one-stop assessment clinic), and less likelihood of cancellation. The environment may be less threatening than a conventional operating room and the woman has direct involvement in the procedure, with immediate feedback and faster recovery (Kremer et al., 2000). The main indications of diagnostic and operative hysteroscopy are: abnormal pre¬menopausal or postmenopausal uterine bleeding, endometrial polyps, submucosal and some intramural fibroids, intrauterine adhesions, Müllerian anomalies (eg, uterine septum), retained intrauterine devices (retained