181: Office Operative Hysteroscopy

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To evaluate the benefits of office operative hysteroscopic systems with or without general anesthesia. We retrospectively reviewed our case series since the introduction in our practice of an office operative system. Tertiary referral center. From October 2002 to March 2005 234 endometrial polyps were diagnosed using office hysteroscopy. When the size was < 2 cm a see and treat approach was offered to the patients. When the procedure was performed in general anesthesia the same hysteroscopic system was employed if the size was < 3 cm. One hundred two were judged less than two centimeter in size, while 132 were more than 2 cm. In the former a see and treat approach was proposed, and 74% accepted the procedure. The others were treated in an ambulatory surgical unit and discharged few hours later the procedure using the same hysteroscopic system (57%) or a resectoscope (43%). In our series, office operative hysteroscopy may avoid cervical dilatation and the use of a regular resectoscope in 78% of cases; furthermore, the procedure is well accepted without anesthesia in 74% of selected cases.