Role Of Hysteroscopy In The Management Of Retained Products Of Conception And Its Satisfaction

Abstract

Aims: To assess the efficacy and patient satisfaction undergoing hysteroscopy in the management of retained products of conception (RPOC).

Material and Methods: The study was conducted on 60 patients for 2 years. After 6 weeks of hysteroscopic removal of RPOC, patients were followed up for repeat ultrasonography for the completeness of procedure and satisfaction was evaluated with the help of a questionnaire.

Results: Different methods of hysteroscopic removal of RPOC were done in 60 patients with the use of scissors with grasper, 27 Fr resectoscope with or without energy. After 6 weeks of hysteroscopic removal of RPOC, our success rate was 86.66%. Patient satisfaction survey was also evaluated and was 81.66%.

Conclusion: Hysteroscopic is the most ideal way an RPOC should be removed. Our study showed 86.66% success rate and satisfaction rate of 81.66%. Dilatation and Curettage should not be done for a focal pathology like RPOC as it can inadvertently damages the endometrium causing adhesion and impairs infertility. The new generation of gynaecologists now should undergo training in hysteroscopy which is the tool for diagnosis of intra-uterine pathology.