Histeroscopia diagnóstica.

Abstract

Six hundred and six diagnostic hysteroscopies were conducted between April of 1991 and November of 1994 and retrospectively analysed; 544 of these were made in routine outpatient clinic with paracervical anaesthesia in 438 (72%) of the cases. Mean hospitalisation was for a period of six hours. The patient's mean age was 48.7 years and the most frequent indications were, abnormal uterine bleeding (220 cases-35%) and post menopausal metrorrhagia (176 cases-29%). Our cases showed a morbidity rate of 1.9%. We found a positive correlation between the hysteroscopic findings and the histological study in 428 examinations (71%). The hysteroscopic procedure allowed us to make a precise and early diagnosis of many gynecologic pathologies, a proper therapeutical approach and provided an endometrial cancer screening tool. These aspects are very important in our region because our female population some risk factors for that endometrial cancerous or precancerous lesions.