Recurrence and prediction of abnormal uterine bleeding and re-intervention after initial hysteroscopic treatment: a retrospective cohort study
ConclusionIn premenopausal women with abnormal uterine bleeding, treatment of intrauterine pathology often does not reduce the complaints, thus questioning the effectiveness of hysteroscopic removal of these structures.
Evaluation and management of abnormal uterine bleeding (AUB) are possible in the office. Approaching AUB evaluation from an etiology-based perspective allows the gynecologist to focus evaluation efforts on the most probable causes of AUB for a particular patient and therefore customize the management accordingly. Developing skills with imaging such as transvaginal ultrasound, saline infusion sonography, and diagnostic hysteroscopy are important for AUB etiology diagnosis. Operative hysteroscopy experience can be developed for AUB management in the office and endometrial ablation provides a minimally invasive solution for some patients.
ConclusionThe utilization of a stone retrieval basket is a novel and effective method for retrieving a wide based endometrial polyp following incomplete resection with hysteroscopic scissors.
ConclusionUterine anomalies may be challenging to characterize based on exam or ultrasound alone. Surgical management of gynecological pathology, such as fibroids, requires understanding of normal and anomalous anatomic landmarks and innovative application of common instrumentation. This patient's unique anatomy allowed intrauterine instrumentation normally preformed blindly to be directly visualized by hysteroscopy. This allowed safe and effective treatment in a technically challenging case.
The objective of our study was to assess our health system's rate of overdiagnosis of uterine AVM on pelvic ultrasound.
ConclusionWhilst radical completion surgery should be advised in UA, this case, in addition to all published conservatively managed cases of UA, demonstrates that conservative management is possible in appropriately selected women. Intensive monitoring post-operatively is essential owing to the risk of recurrence; however, this may pose deleterious side effects which require consideration.
We read with great interest the article of Vilos et al  who assessed hysteroscopic resection of the endometrium as a first line approach to evaluate patients with postmenopausal bleeding (PMB). The motivation behind this approach arises from the limitations of the well accepted screening through endometrial biopsy (EMB). We and others agree with the authors that EMB suffers from high rates of failure and inadequacy of the specimen [2 –5]. Unfortunately, the authors did not report on their experience with another screening modality that has an excellent negative prediction value – the transvaginal ultrasound (TVS).
ConclusionsIntrauterine Bigatti Shaver® is a feasible technique for placental remnants removal. Further studies comparing various surgical treatment are needed to define which technique is the safest and completely remove placental remnants.
Chronic endometritis (CE) is a sustained inflammation of the endometrial lining characterized by the presence of an excessive number of neutrophils and plasma cells in the endometrial stroma [1 –3]. It is often asymptomatic or coexisting with mild unspecific symptoms including pelvic pain, abnormal uterine bleeding, vaginal discharge, or pain during intercourse . It is recognized that CE is associated with adverse reproductive outcomes including recurrent pregnancy loss and failure of implantation .
Chronic endometritis (CE) is a sustained inflammation of the endometrial lining characterized by the presence of excessive number of neutrophils and plasma cells in the endometrial stroma [1-3]. It is often asymptomatic or coexisting with mild unspecific symptoms including pelvic pain, abnormal uterine bleeding, vaginal discharge or pain during intercourse . It is recognized that CE is associated with adverse reproductive outcomes including recurrent pregnancy loss and failure of implantation .
ConclusionsThe use of an indwelling, intrauterine Foley balloon catheter has positive results in the management of CSP.