Office Hysteroscopy: Diagnostics Without the Operating Room | DS.Med
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Office Hysteroscopy: Diagnostics Without the Operating Room

Endoscopy · DS.Med editorial

Classic hysteroscopy meant an operating room: cervical dilation, anesthesia, a recovery bed. A flexible fiber hysteroscope with a 4.9 mm distal end changed the equation — the instrument follows the cervical canal without dilation, and examination becomes an outpatient visit.

What the office format changes

  • No anesthesia for diagnostic examinations in most patients
  • The patient watches the screen with the physician — findings are discussed in real time
  • A 2.2 mm instrument channel takes targeted biopsies in the same visit
  • The OR is freed for surgery; the clinic bills a procedure instead of blocking a theater

Indications that fill the schedule

Abnormal uterine bleeding, endometrial pathology on ultrasound, polyps, synechiae, infertility workup before IVF, lost IUD retrieval — the routine gynecology stream generates office hysteroscopy daily. With a video system the examination is documented for records and dynamics.

Frequently asked questions

Is office hysteroscopy painful?
Most diagnostic examinations with a flexible 4.9 mm scope are well tolerated without anesthesia; the physician decides individually.
Can polyps be treated in the office setting?
Targeted biopsy and minor manipulations pass through the 2.2 mm channel; larger operative hysteroscopy remains an OR procedure.
What equipment does the office format require?
A flexible hysteroscope, a light source, ideally a video system — and standard gynecological infrastructure; no OR needed.
Related equipment: DS.HysteroFiber DS.Fibro line

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