Vaginal Lesions Diagnosed and Treated with Hysteroscopy

Vaginal lesions represent an unusual, often underestimated, cause of genital complaints

Brunella Zizolfi; Fabrizia Santangelo; Ursula Catena; Carmine Nappi; Attilio Di Spiezio Sardo

2018

Key concepts

Scholarcy highlights

  • Vaginal lesions represent an unusual, often underestimated, cause of genital complaints
  • The vaginoscopic approach for hysteroscopy offers a detailed endoscopic evaluation of the vaginal canal before accessing the uterine cavity since the vaginal walls, fornices, and esocervix can be and accurately examined through the magnification of the images on the monitor. This approach has contributed to the development and widespread use of hysteroscopy in an office-based setting, reducing patient discomfort, and suitable for use among women who have not been sexually active or have severe vaginal atrophy or stenosis
  • The recent technologic advancements, with the use of miniaturized mechanical instruments and the introduction of a versatile bipolar electrosurgery system dedicated to hysteroscopy, have made possible diagnosing and treating uterine, cervical, and vaginal lesions in the office setting
  • Vaginoscopy shouldn’t be only an easier way to get into the cervical canal, and an important tool in the hands of the gynecologist to diagnose and treat vaginal lesions, which required more invasive and traumatic approaches

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