IMR Press / CEOG / Volume 44 / Issue 5 / DOI: 10.12891/ceog3827.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Office hysteroscopy for removal of retained products of conception: can we predict treatment outcome?
Show Less
1 Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
† Co-first authors.
Clin. Exp. Obstet. Gynecol. 2017, 44(5), 683–685; https://doi.org/10.12891/ceog3827.2017
Published: 10 October 2017
Abstract

Purpose of investigation: To evaluate the safety and efficacy of office hysteroscopy in the management of retained product of conception (RPOC) and to identify those predictors for treatment success. Study Design: A retrospective cohort study that was conducted in tertiary university-affiliated medical center. One hundred and eight women with sonographic findings of RPOC, who underwent seeand-treat hysteroscopy, were included in this study. Demographic data, indication for treatment, and preoperative patient characteristics and ultrasound findings were evaluated as predictors for treatment outcome. Results: Office-hysteroscopy was well tolerated by most of the patients (96%), with an overall success rate of 65%. Causes of treatment failure were: actual RPOC size (assessed during seeand-treat hysteroscopy), bleeding, and pain. In univariate analysis, none of the examined factors was shown to predict complete removal of RPOC. Furthermore, RPOC size assessed by ultrasound was not shown to be valuable predictors for treatment outcome. Conclusions: The efficacy of office hysteroscopy for removal of RPOC is limited. Ultrasound measurement of RPOC size should not be used as a predictor for treatment outcome.
Keywords
Hysteroscopy
Office hysteroscopy
Retained products of conception
See-and-treat hysteroscopy
Share
Back to top