Amburatory Hysteroscopy : Diagnosis and Treatment

I. Diagnostic Tests and Techniques: Diagnostic outpatient
hysteroscopy service.- Outline.- Hysteroscopes and sheaths.- Set up.-
The nurse’s role.- Techniques.- Distension media.- The self-
retaining office hysteroscope.- Indications, contraindications and
complications.- Pre-IVF hysteroscopic evaluation.- Sonography and
sonohysterography .- Saline infusion sonography.- Anatomy of the
endometrium.- Endometrial receptors.- Intrauterine pathology.-
Endometrial cell transportation.- II. Operative Procedures: Eye-
guided biopsies (EGB) .- Endometrial cytology and sampling.- A
pathologist’s point of view.- Liquid distension media.- Bipolar
energy.- Mechanical instruments.- Indications and limitations.-
Sterilization.- Anesthesia.- III. Practical Aspects: Instruments:
Europe.- USA.- Office hysteroscopy: reimbursement.- Evidence-based
comparisons of the different diagnostic techniques to approach the
cervix and the uterine cavity.- Learning, training, proctoring, and
credentialing.- Training and accreditation: USA.- Europe.- Australia.-
The Far East.- An overview.- Training and accreditation: Record-
keeping, documentation, and registry.- Photo and video archiving for
endoscopy.- IV. The Office and Outpatient Team: The Nurse’s
perspective.- Patients’ compliance with small diameter scope size.-
Counseling patients.- V. Epilogue.