Navegando por Palavras-chave "hysteroscopy"

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    Hysteroscopic evaluation of the endometrium of post-menopausal patients with breast cancer before and after tamoxifen use
    (Elsevier B.V., 1999-09-01) Goncalves, MAG; Goncalves, Wagner Jose [UNIFESP]; Matias, M. M.; Nazario, ACP; Lima, G. R. de; Baracat, E. C.; Pontificia Univ Catolica Rio Grande do Sul; Universidade Federal de São Paulo (UNIFESP); Porto Alegre Gen Hosp
    Objective: To evaluate by hysteroscopy and histopathology the influence of tamoxifen in the endometrium df post-menopausal women with previous breast cancer. Method: Out of 46 patients studied, 20 of them had been using tamoxifen for an average length of 12 months, and are still being followed-up. Hysteroscopy with endometrial biopsy was performed before and after the use of the drug. Results: the prevalence of endometrial activity before and after this hormoniotherapy was the same, i.e. 10.0%, showing a non-significant variation. Conclusion: the hormoniotherapy with tamoxifen has not increased the endometrial proliferactive activity of postmenopausal patients with breast cancer. the most common hysteroscopical finding was numerous vesicles disseminated throughout the uterine cavity probably due to atrophy of the endometrium, (C) 1999 International Federation of Gynecology and Obstetrics.
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    Pain evaluation in outpatients undergoing diagnostic anesthesia-free hysteroscopy in a teaching hospital: A cohort study
    (Elsevier B.V., 2007-11-01) Carvalho Schettini, Juliana A. de; Ramos de Amorim, Melania Maria; Ribeiro Costa, Aurelio Antonio; Albuquerque Neto, Luiz Cavalcante; Inst Materno Infantil Pernambuco; Universidade Federal de São Paulo (UNIFESP)
    STUDY OBJECTIVE: To evaluate and determine the main causes for pain occurrence and intensity in outpatients undergoing anesthesia-free hysteroscopy in a medical school hospital.DESIGN: Cohort study (Canadian Task Force classification II-2).SETTING: Diagnosis Center of the Instituto Materno-Infantil de Pernambuco.PATIENTS: One hundred seventy-one outpatients undergoing anesthesia-free diagnostic hysteroscopy.INTERVENTION: To assess pain occurrence, intensity, and associated factors reported by patients undergoing anesthesia-free diagnostic hysteroscopy.MEASUREMENTS and MAIN RESULTS: Pain frequency and intensity were determined by visual analog scale (VAS) at the end of the procedure and at 15-, 30-, and 60-minute intervals. Data analysis of clinical, obstetric, and gynecologic history and its association with pain was performed. Association through X-2 test (Pearson), risk ratio with 95% Cl, and multiple logistic regression were used for statistical analysis. Pain score was higher immediately after the procedure with a median of 6, decreasing to 3, 1, and 0 at 15-, 30-, and 60-minute intervals, respectively. Multiple logistic regression was performed, and the only parameters remaining that were significantly associated with pain were menopause, speculum placement, and the absence of previous vaginal delivery.CONCLUSION: Anesthesia-free diagnostic hysteroscopy is often associated with pain, and it has been determined that menopause, speculum placement, and absence of previous vaginal delivery are factors associated with pain occurrence and intensity. (C) 2007 AAGL. All rights reserved.
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    Transvaginal ultrasound, uterine biopsy and hysteroscopy for postmenopausal bleeding
    (Elsevier B.V., 1996-10-01) GiusaChiferi, M. G.; Goncalves, Wagner Jose [UNIFESP]; Baracat, E. C.; Neto, LCD; Bortoletto, CCR; de Lima, G. R.; Universidade Federal de São Paulo (UNIFESP)
    Objectives: To determine the importance of endometrial biopsy and transvaginal ultrasound in patients with postmenopausal bleeding. Methods: Eighty patients with postmenopausal bleeding were submitted to transvaginal ultrasound followed by endometrial biopsy. Hysteroscopy and dilatation and curettage were carried out to confirm normality of the uterine cavity. Results: the endometrial echo could be visualized in all patients with postmenopausal bleeding. the biopsy failed to detect one case (1.38%) of adenocarcinoma and 14 cases (17.5%) of endometrial polyps. the sensitivity in detecting endometrial malignancy was 94.44% for endometrial biopsy and 100% for transvaginal ultrasound, when the endometrial thickness was more than 8 mm. Conclusions: When the thickness of the endometrial echo is less than 3 mm there is no need for anatomopathologic investigation. When this limit was adopted, all cases were associated with endometrial atrophy, and when the limit was 4 mm or more, active endometria were detected, requiring further histopathologic investigation by hysteroscopy and directed biopsies. Above 8 mm, malignancy may be found.