The prolonged retention of fetal bone structure is an uncommon condition after a previous abortion. We describe two cases with fetal bone fragment amongst 3589 hysteroscopies (0.05%), who had no complaint other than secondary infertility. In both patients, hyperechogenic areas were found through transvaginal ultrasound and the bones were removed by hysteroscopy. Despite meticulous evaluation du...

BACKGROUND Uterine adenosarcomas are rare malignant gynaecological tumours. Due to its submucous localization, they can be easily confound with benign tumours like endometrial polyps or submucous myomas. However, the treatment of uterine adenosarcomas requires an oncologic surgical approach. CASE PRESENTATION In the following case report, we present the minimally invasive treatment of a uteri...

OBJECTIVE Evaluate in outpatients, the endometrial morphology and histology of non-bleeding postmenopausal women. METHODS We conducted a descriptive study where 52 menopausal women were selected, between 50 and 60 years of age, who had not used hormone replacement therapy in the last six months and did not present any kind of vaginal bleeding after menopause. These women underwent ultrasound ...

OBJECTIVE To assess the prevalence of uterine anatomical abnormalities found by office diagnostic hysteroscopy in a population of patients experiencing more than two consecutive miscarriages and compare the prevalence of uterine abnormalities between patients with two miscarriages and those with three or more consecutive miscarriages. METHODS A cross-sectional study of 66 patients with two or...

PURPOSE Gas embolism during hysteroscopy is rare but sometimes fatal. A fatal case of gas embolism during diagnostic hysteroscopy using carbon dioxide (CO2) is presented. CLINICAL FEATURES A 68 yr old woman was admitted for treatment of myoma and cancer of the uterus. Hysteroscopy using CO2 was performed without monitoring or anesthesia on the ward. At the end of the examination, just after t...

BACKGROUND To evaluate if the addition of lidocaine to the gel used for gel infusion sonohysterography (GIS) reduces pain experienced during GIS or subsequent hysteroscopy. METHODS A total of 142 consecutive patients were randomized using computer-generated random integers. In 79 patients, GIS was performed with a gel containing lidocaine (Instillagel®) and in 63 patients the gel did not cont...

OBJECTIVE To investigate the histologic and hysteroscopic findings of post-menopausal women with uterine bleeding and asymptomatic women with increased endometrial thickness equal or more than 5 mm. MATERIALS AND METHODS This cross-sectional study was performed between May 2014 and June 2015 on 110 post-menopausal women aged 40-82 years. The women were divided into two groups: Women with abno...

OBJECTIVE To evaluate the importance of saline infusion Doppler sonohysterography (SIS-D) in the assessment of transvaginal ultrasound (TVUSG)-suspected intrauterine mass lesions in women complaining about abnormal uterine bleeding with respect to hysteroscopy (H/S) and pathologic diagnosis. METHODS This study was conducted on patients, who visited to our clinic with abnormal uterine bleeding...

397 Summary Objective: To assess the prevalence of uterine anatomical abnormalities found by office diagnostic hysteroscopy in a population of patients experiencing more than two consecutive miscarriages and compare the prevalence of uterine abnormalities between patients with two miscarriages and those with three or more consecutive miscarriages. Methods: A cross-sectional study of 66 patients...

OBJECTIVES To build decision trees to predict intrauterine disease, based on a clinical data set, and using mathematical software. METHODS Diagnostic algorithms were built and validated using the data of 402 consecutive patients who underwent grey scale ultrasound, followed by colour Doppler, saline infusion sonography (SIS), office hysteroscopy and endometrial-- sampling. The "final diagnosi...