Background: The vaginoscopic approach for hysteroscopy allows detailed endoscopic evaluation of the vaginal walls, fornices, and exocervix.
Objectives: To review the feasibility and efficacy of vaginohysteroscopy in the diagnosis and treatment of vaginal lesions.
Search Strategy: A systematic review was performed of PubMed/Medline, Embase, Google Scholar, and the Cochrane Database to identify papers published in English. The search terms were "hysteroscopy," "vaginoscopy," "vagino-hysteroscopy," and "vaginal lesion." The last review was performed on January 31, 2015.
Selection Criteria: Studies in which the diagnosis and treatment of vaginal lesions used the vaginoscopic approach and hysteroscopic instrumentation were reviewed.
Data Collection And Analysis: Data were extracted from the identified studies and then analyzed.
Main Results: Thirteen studies were reviewed. Eleven described one case; one reported observations from two patients, and one study reported a case series. All vaginohysteroscopies reported were performed successfully and without significant complications.
Conclusions: Vaginohysteroscopy is an easy way to gain access to the cervical canal and an important tool with which to diagnose and treat vaginal lesions.
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| http://dx.doi.org/10.1016/j.ijgo.2015.09.018 | DOI Listing |
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