Role of Hysteroscopy (HSY) in the Management of Abnormal Uterine Bleeding (AUB) in women with an Intact Hymen

A. Elbareg
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Abstract

vaginoscopy or ‘no-touch’ approach, in which hysteroscopy Abstract Background & Objectives: Virginity, is considered as a sign of sexual purity in many societies, and damage to the hymen carries with its serious social implications for patients. Based on these issues & because of (HSY) being the only technique that provides direct visualization of uterine cavity, our aim of this study was to assess its role in diagnosis & treatment of uterine pathology causing (AUB) in 17 unmarried patients with an intact hymen. Materials & Methods: Medical records of these patients for whom HSY were performed during a period of one year, at AL-Amal hospital, were studied retrospectively. All underwent diagnostic HSY & operative (when necessary). Outcomes: treatment success (neither hymen nor cervix were injured), menstrual flow reduction, need of second operation, patient satisfaction & complications. Treatment was considered as a failure if hymen or cervix was injured or with repeated attacks of AUB. Results: All went smoothly, neither hymen nor cervix were injured, no uterine perforations were encountered. Mean follow-up period was 3 months. All patients but one (treatment failure, with repeated attacks of AUB) were satisfied and showed menstrual improvement. Conclusions: monthly high satisfaction
宫腔镜(HSY)在处女膜完好妇女异常子宫出血(AUB)治疗中的作用
摘要背景与目的:在许多社会中,处女被认为是性纯洁的标志,处女膜的损伤对患者具有严重的社会影响。基于这些问题,并由于(HSY)是唯一一种提供子宫腔直接可视化的技术,我们的研究目的是评估其在17例处女膜完整的未婚患者子宫病理引起(AUB)的诊断和治疗中的作用。材料与方法:回顾性研究在AL-Amal医院接受HSY治疗的患者一年内的医疗记录。所有患者均接受了HSY诊断和手术(必要时)。结果:治疗成功(处女膜和宫颈均未损伤),月经量减少,需要第二次手术,患者满意度和并发症。如果处女膜或宫颈受伤或AUB反复发作,则认为治疗失败。结果:手术顺利,无处女膜、宫颈损伤,无子宫穿孔。平均随访3个月。除1例(治疗失败,伴有AUB反复发作)外,其余患者均满意,月经改善。结论:每月满意度较高
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