Abstract
StudyTo present a de novo technique of endometrial sampling – hysteroscopic curettage. ObjectiveAim to describe this new procedure and study its effectiveness and accuracy. DesignProspective study (Canadian Task Force Classification II-2). SettingUniversity-affiliated public hospital. PatientsTwo hundred and ninety-three consecutive patients who attended outpatient gynaecological endoscopic centre. InterventionA total of 300 hysteroscopic curettage was carried out using flexible hysteroscope and Lin snare system. Main ResultsThe procedure failure rate is 2.67%. Out of 292 successful hysteroscopic curettages, hysteroscopy alone has a sensitivity of 99% and negative predictive value of 97.7%. The accuracy was further improved to near perfection with curettage histology. The negative predictive value is 99%. ConclusionHysteroscopic curettage is easy to perform, highly effective and accurate. It offers an excellent outpatient alternative for patients who require endometrial sampling and/or an evaluation of abnormal uterine bleeding.
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