Complications of Hysteroscopy

Jansen, Frank Willem; Vredevoogd, Corla B.; ULZEN, KARIN VAN; Hermans, J.; Trimbos, J. Baptist; Trimbos-Kemper, Trudy C.M.

doi:10.1097/00006250-200008000-00021

Cited by 77 publications

(25 citation statements)

References 14 publications

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“…In the outpatient setting, pain, cervical stenosis and sub-optimal visualization of the uterine cavity are the most frequent reasons for abandonment of procedure (14). Rarely, life threatening complications such as uterine perforation and cervical laceration occur (26).…”

Section: The Diagnosis Of Endometrial Cancermentioning

confidence: 99%

“…While invasive testing is necessary for a tissue diagnosis, most women with PMB have a benign explanation for their bleeding. Currently, thousands of women with PMB undergo hysteroscopy and/or endometrial biopsy, invasive tests that are unpleasant, sometimes technically challenging, and painful or extremely painful for 30%-40% of women (15,26,27). Restricting invasive testing to women with sinister underlying pathology would save many thousands of women per year in every developed country in the world from invasive tests they do not need.…”

Section: The Diagnosis Of Endometrial Cancermentioning

confidence: 99%

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Urinary Biomarkers and Their Potential for the Non-Invasive Detection of Endometrial Cancer

et al. 2020

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Endometrial cancer is the most common malignancy of the female genital tract and its incidence is rising in parallel with the mounting prevalence of obesity. Early diagnosis has great potential to improve outcomes as treatment can be curative, especially for early stage disease. Current tests and procedures for diagnosis are limited by insufficient accuracy in some and unacceptable levels of invasiveness and discomfort in others. There has, therefore, been a growing interest in the search for sensitive and specific biomarkers for endometrial cancer detection based on non-invasive sampling methodologies. Urine, the prototype non-invasive sample, is attractive for biomarker discovery as it is easily accessible and can be collected repeatedly and in quantity. Identification of urinary biomarkers for endometrial cancer detection relies on the excretion of systemic biomarkers by the kidneys or urinary contamination by biomarkers shed from the uterus. In this review, we present the current standing of the search for endometrial cancer urinary biomarkers based on cytology, genomic, transcriptomic, proteomic, and metabolomic platforms. We summarize the biomarker candidates and highlight the challenges inherent in urinary biomarker discovery. We review the various technologies with promise for biomarker detection and assess these novel approaches for endometrial cancer biomarker research.

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Section: The Diagnosis Of Endometrial Cancermentioning

confidence: 99%

Section: The Diagnosis Of Endometrial Cancermentioning

confidence: 99%

Urinary Biomarkers and Their Potential for the Non-Invasive Detection of Endometrial Cancer

et al. 2020

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“…These facts show that the hysteroscopic method has many advantages compared to the abdominal methods. Conversely, the biggest complication in hysteroscopic metroplasty is perforation (rate 0.76) [8]. Fedele L and Bianchi S noted that use of a laparoscope or ultrasound assistance was useful in preventing perforation [9].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy After Hysteroscopic Metroplasty Under Laparoscopy in a Woman with Complete Septate Uterus: A Case Report

Tajiri

Ueda

Aoyama

et al. 2015

J UOEH

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: A 31-year-old nulligravid woman with a 3 year history of infertility visited our hospital. After consultation and a transvaginal ultrasound and MR imaging, her uterine anomaly was identified as complete septate uterus: class V (a) by the American Fertility Society (AFS). She had a doubled uterine cervix and a vaginal septum. Hysteroscopic metroplasty was performed with the aid of a laparoscopy. Both tubal patencies were confirmed with indigocarmine in a laparoscopic image. Laparoscopic electronic cautery was also done on the left ovarian endometrioma (stage 1 endometriosis; the revised American Society for Reproductive Medicine (rASRM) classification 4 point minimal). We distrained an intrauterine device in the uterine cavity and removed it after two cycles of menstruation. The patient subsequently became pregnant during her third menstrual cycle and the current progress of her pregnancy is favorable.

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“…Endometrial sampling is painful, and the fear of pain can prompt some women to opt for risk reducing surgery sooner then they may have otherwise 28. Outpatient hysteroscopy can have complications such as pain (in 5% of women),29 infection (1%), perforation (0.76%), life threating bleeding (0.02%), and visceral injury (0.01%) 3031. Screening can have a psychological impact as reported in a systematic review of individuals with a hereditary risk of cancer 3233…”

Section: What Is the Evidence Of Uncertainty?mentioning

confidence: 99%