A vaginoscopic approach to diagnostic hysteroscopy

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In this video, diffuse complex endometrial hyperplasia is identified using a vaginoscopic approach with a 1.9-mm diagnostic rigid hysteroscope. The posterior fornix of the vagina is filled with saline until the cervix is elevated with the fluid and the cervical os is identified. The cervical canal is entered and gentle rotational movement and hydrodistension allows the canal to be traversed into the uterine cavity.

Video provided by Amy L. Garcia, MD

Vidyard Video

Read Dr. Garcia’s “Update on minimally invasive gynecology” (April 2015)

Author and Disclosure Information

Dr. Garcia is Director, Center for Women’s Surgery and Garcia Institute for Hysteroscopic Training, Albuquerque, and Clinical Assistant Professor, Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque. Dr. Garcia serves on the OBG Management Board of Editors.

The author reports no financial relationships relevant to this article.

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OBG Management - 27(4)

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MDedge ObGyn

OBG Management

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Surgery

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Amy L. Garcia MD, Malcolm Munro MD, Update on minimally invasive gynecology, in-office hysteroscopy, patient anxiety, patient pain, office hysteroscopy, low patient tolerance of discomfort, hysteroscopy without anesthesia, diagnostic hysteroscopy, vaginoscopic approach, “no-touch” technique, polyps, flexible lenses, chronic pelvic pain, cesarean delivery, preprocedural paracervical block, local anesthetic, cervical pain, preprocedural cyclooxygenase inhibitors, COX inhibitors, ibuprofen, sodium naproxen, lidocaine, onset of action, calm and relaxing environment, music, State-Trait Anxiety Inventory, STAI, visual analog scale, protocol for pain relief, dysmenorrhea, dyspareunia,

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Surgical Techniques

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Amy L. Garcia, MD

Author(s)

Amy L. Garcia, MD

Author and Disclosure Information

Dr. Garcia is Director, Center for Women’s Surgery and Garcia Institute for Hysteroscopic Training, Albuquerque, and Clinical Assistant Professor, Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque. Dr. Garcia serves on the OBG Management Board of Editors.

The author reports no financial relationships relevant to this article.

Author and Disclosure Information

Dr. Garcia is Director, Center for Women’s Surgery and Garcia Institute for Hysteroscopic Training, Albuquerque, and Clinical Assistant Professor, Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque. Dr. Garcia serves on the OBG Management Board of Editors.

The author reports no financial relationships relevant to this article.

In this video, diffuse complex endometrial hyperplasia is identified using a vaginoscopic approach with a 1.9-mm diagnostic rigid hysteroscope. The posterior fornix of the vagina is filled with saline until the cervix is elevated with the fluid and the cervical os is identified. The cervical canal is entered and gentle rotational movement and hydrodistension allows the canal to be traversed into the uterine cavity.

Video provided by Amy L. Garcia, MD

Vidyard Video

Read Dr. Garcia’s “Update on minimally invasive gynecology” (April 2015)

In this video, diffuse complex endometrial hyperplasia is identified using a vaginoscopic approach with a 1.9-mm diagnostic rigid hysteroscope. The posterior fornix of the vagina is filled with saline until the cervix is elevated with the fluid and the cervical os is identified. The cervical canal is entered and gentle rotational movement and hydrodistension allows the canal to be traversed into the uterine cavity.

Video provided by Amy L. Garcia, MD

Vidyard Video

Read Dr. Garcia’s “Update on minimally invasive gynecology” (April 2015)

Issue

OBG Management - 27(4)

Issue

OBG Management - 27(4)

Publications

Publications

Topics

Article Type

Display Headline

A vaginoscopic approach to diagnostic hysteroscopy

Display Headline

A vaginoscopic approach to diagnostic hysteroscopy

Legacy Keywords

Amy L. Garcia MD, Malcolm Munro MD, Update on minimally invasive gynecology, in-office hysteroscopy, patient anxiety, patient pain, office hysteroscopy, low patient tolerance of discomfort, hysteroscopy without anesthesia, diagnostic hysteroscopy, vaginoscopic approach, “no-touch” technique, polyps, flexible lenses, chronic pelvic pain, cesarean delivery, preprocedural paracervical block, local anesthetic, cervical pain, preprocedural cyclooxygenase inhibitors, COX inhibitors, ibuprofen, sodium naproxen, lidocaine, onset of action, calm and relaxing environment, music, State-Trait Anxiety Inventory, STAI, visual analog scale, protocol for pain relief, dysmenorrhea, dyspareunia,

Legacy Keywords

Amy L. Garcia MD, Malcolm Munro MD, Update on minimally invasive gynecology, in-office hysteroscopy, patient anxiety, patient pain, office hysteroscopy, low patient tolerance of discomfort, hysteroscopy without anesthesia, diagnostic hysteroscopy, vaginoscopic approach, “no-touch” technique, polyps, flexible lenses, chronic pelvic pain, cesarean delivery, preprocedural paracervical block, local anesthetic, cervical pain, preprocedural cyclooxygenase inhibitors, COX inhibitors, ibuprofen, sodium naproxen, lidocaine, onset of action, calm and relaxing environment, music, State-Trait Anxiety Inventory, STAI, visual analog scale, protocol for pain relief, dysmenorrhea, dyspareunia,

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Surgical Techniques

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