AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
BALTIMORE -- Office hysteroscopy should become an integral skill and a routine method of evaluating the uterus, Dr. Linda Bradley said at a symposium on women's health sponsored by Mercy Medical Center.
Performing hysteroscopy in the office setting provides a prompt, accurate diagnosis, giving patients peace or mind raster and improving patient satisfaction, said Dr. Bradley, director of hysteroscopic services at the Cleveland Clinic Foundation. A major benefit is that patients who are taken to the operating room have already been diagnosed in the office, and "we end up taking patients to the OR who really need it."
Office-based hysteroscopy also provides a 1ess expensive, high quality, and cost-effective service; increases independence from hospitals; and is a more efficient use of time, said Dr. Bradley, who had performed more than 4,000 such procedures.
Despite these and other benefits, barriers to widespread acceptance of office-based hysteroscopy remain. Some physicians resist the idea, possibly because they are threatened by the new technology. There has been a reliance on hysterectomy, which guarantees therapeutic results.
Some physicians may be concerned about reimbursement issues, but she said that most insurance companies pay well for office-based procedures.
Blind sampling with a dilatation and curettage and endometrial biopsy may still be considered the standard of care in women with abnormal bleeding. But in her view, this approach is helpful only for diagnosing cancer and has limited therapeutic effects. She recalled how she used to perform two to three D&Cs on a patient and then eventually end up doing a vaginal hysterectomy anyway. "Those days are certainly over," she said. "We should be able to look at other technology that helps us know and pinpoint what the pathology is."
Because abnormal bleeding is the second most common reason women go to their gynecologist, after symptoms of vaginitis, there are ...
Source: HighBeam Research, Office hysteroscopy boosts cost efficiency, patient satisfaction....