Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

Tsimpanakos, Ioannis; Gkoutzioulis, Antonios; Moustafa, Mohamed; Mohamed, M; Magos, Adam

doi:10.1111/j.1471-0528.2010.02615.x

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…We thank Dr Tsimpanakos and colleagues for their interest in our paper 1,2 . We are aware of the H Pipelle as a ‘no‐touch’ global endometrial sampling device; however, to our knowledge, its use in routine clinical practice is not widespread.…”

Section: Authors’ Replymentioning

confidence: 99%

Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

Cooper

Smith

Khan

et al. 2010

BJOG

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Section: Authors’ Replymentioning

confidence: 99%

Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

Cooper

Smith

Khan

et al. 2010

BJOG

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“…The survey confirmed the effectiveness of ‘no‐touch’ vaginoscopy in the treatment of adolescent AUB, which has the advantage of both treating disease and protecting the integrity of the patient's hymen. The use of the vaginoscopy was successful and significantly reduces the pain experienced by patients during the procedure compared to the traditional technique (SMD −0.44, 95% CI from −0.65 to −0.22, I(2) = 58%) . In addition, compared to the traditional technique, ‘no‐touch’ hysteroscopy showed significantly shorter time required for hysteroscopy and biopsy (5.9 vs 7.8 min; difference 1.9, 95% CI 0.7–3.1) …”

Section: Discussionmentioning

confidence: 93%

Application of ‘no‐touch’ hysteroscopy (vaginoscopy) for the treatment of abnormal uterine bleeding in adolescence

Jin

Wang

et al. 2019

J of Obstet and Gynaecol

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Aim: This article retrospectively analyzed the efficacy and safety of vaginoscopy in the treatment of adolescent abnormal uterine bleeding (AUB) in 204 cases of AUB. Method: From patients with intact hymen who were admitted to our hospital due to AUB received vaginoscopy, and vaginoscopy did not damage the hymen. In this study, 4.5 mm and 6.5 mm hysteroscopy were used with a pumping fluid pressure of 100-120 mm Hg and a flow rate of 400 mL/min. All 204 vaginoscopy was successfully completed in intravenous anesthesia. Results: Postoperative pathological examination confirmed that of the 204 patients, 53 patients had simple hyperplasia. There were 53 cases of polyps, 50 cases of endometrial gland hyperplasia and disordered arrangement, 35 cases of proliferative phase endometrium, five cases of bleeding phase endometrium, partial glandular secretion, three cases of complex hyperplasia and one case of decidua like change. Follow-up data from 64 patients showed that 34 patients were effective after treatment. Stepwise logistic regression analysis suggested that endometrial thickness was associated with treatment outcome (HR, 0.875, 95% CI, 0.786-0.974, P = 0.014). There was no significant difference in drug use between patients with effective and ineffective treatment. Conclusion: 'No-touch' vaginoscopy is feasible for the diagnosis and treatment of adolescent AUB without destroying the intact hymen.

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“…In these studies, the vaginoscopy was done using a rigid 2.5e3.7 mm hysteroscope with fluid distention followed by the standard hysteroscopy procedure. 9 Another systemic review of 19 case reports found that using a hysteroscope for vaginoscopy was useful for the evaluation of adolescent gynecological disorders in patients with intact hymen or limited anatomy. 10 A combined vaginoscopy-cystoscopy technique has been described to evaluate vesico-vaginal fistulae whereby the vaginoscopy was done using a 10 mm laparoscope with vaginal speculum.…”

Section: Discussionmentioning

confidence: 99%

“…Vaginoscopy has been reported in the evaluation and management of gynecological disorders 9,10 and vesico-vaginal fistulae. 11 A 2010 meta-analysis comparing methods of outpatient hysteroscopy reported that concurrent vaginoscopy compared to traditional vaginal speculum significantly reduced pain during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Role of Office-Based Vaginoscopy in a Tertiary Care Center

Patel

Christie

2022

Urology Practice

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Introduction:The detection of vaginal mesh/suture exposure can be challenging due to pain and varied location. We reviewed our experience with office-based vaginoscopy to evaluate these women.Methods: An IRB-approved review of an electronic medical record database at a tertiary care center provided the list of all vaginoscopy procedures performed by a single FPMRS (Female Pelvic Medicine and Reconstructive Surgery) specialist. Vaginoscopy was performed with a flexible cystoscope and findings photographically documented. Demographics, indications, findings, additional imaging (translabial ultrasound and magnetic resonance imaging), and intraoperative findings for corroboration were collected by a neutral investigator.Results: From 2014 to 2020, 159 vaginoscopies were conducted in 128 women with 23 having repeat procedures. Presenting symptoms prompting vaginoscopy included dyspareunia (46), hispareunia (6), vaginal bleeding or discharge (24), or pelvic pain (31), with multiple symptoms present in 63%. The yield of vaginoscopy in detecting mesh/suture exposure was 32% (51/159): 33% (23/71) without prior removal attempts and only vaginal complaints, 37% (18/49) with history of prior surgical mesh/suture removal, 38% (10/26) with history of prior office mesh removal at another facility and none (0/13) when evaluating for bladder mesh complications. Comparatively, only 3 exposures were suspected on imaging. The apex was the most common site of exposure (63%). Mesh/suture removal was mostly performed via a vaginal approach (90%), with 93% corroboration with office-based findings.Conclusions: Office-based vaginoscopy is a safe and simple tool to exclude or detect mesh or suture exposure in selected patients and precisely locate the site/size of exposure to aid in surgical planning of mesh/suture-related complications.

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Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

Cited by 6 publications

References 6 publications

Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

Application of ‘no‐touch’ hysteroscopy (vaginoscopy) for the treatment of abnormal uterine bleeding in adolescence

Role of Office-Based Vaginoscopy in a Tertiary Care Center

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