பெண்ணோயியல் & மகப்பேறியல்
திறந்த அணுகல்

சுருக்கம்

MM Niang, M Sow, F Samb, CT Cisse

Objectives: Specify the epidemiological profile of the patients, the indications, the results of diagnostic hysteroscopy and the factors that influence it at the Institute of Social Hygiene hospital of Dakar. Materials and methods: That was a prospective, descriptive and analytical study on diagnostic hysteroscopies performed at the Institute of Social Hygiene hospital of Dakar over a 24 months period, from April 1st, 2019 to March 31st, 2021. Results: During the study period, the practice of diagnostic hysteroscopy represented 0.7% of outpatient activity and 11.8% of surgical procedures. The epidemiological profile of the patients was a 40 years old woman on average, without a professional activity (40%), in a period of genital activity (75.2%), married (79.5%), nulliparous (43, 6%). The indications for diagnostic hysteroscopy were dominated by investigation of infertility (28.7%) followed by uterine myoma (23.6%). The lesions found were dominated by polyps (31%) followed by tubal (24.5%) and endometrial (21.8%) disease. No complications were recorded in our study. Pain score was mild pain in 51.8% of patients. Therapeutic management was performed in 63 patients (32.3%). Of these, thirty (47.6%) had undergone an operative hysteroscopy. The comparison between the hysteroscopy and the vaginal ultrasound results found 16 false negatives and 13 false positives, giving the vaginal ultrasound a positive predictive value of 83% and a negative predictive value of 70.4%. A multivariate analysis allowed us to observe that intrauterine lesions were more frequent in infertile women (p = 0.0029) and endocavitary myomas were more common in nulliparous women (p = 0.0012); also, the pain felt at the time of the examination was more intense in nulliparous women (p = 0.008) and women in the period of genital activity (p = 0.006). Conclusion: Diagnostic hysteroscopy is an easily performed outpatient examination. Its practice must be developed in our context, particularly in the exploration of female infertility and the screening of endouterine lesions.