Articles
Analysis of 1,469 outpatient hysteroscopies performed in a Brazilian hospital
ABSTRACT
Objective. To evaluate medical records of patients who underwent outpatient hysteroscopy at the Mario Covas State Hospital between 2017 and 2022, correlating findings with the anatomopathological results and clinical features.
Materials and Methods. Cross-sectional observational study. All data were collected in a standardized form based on medical record data of a previously performed diagnostic hysteroscopy. The participants’ examination date, clinical, gynaecological, and obstetric data, and data from the hysteroscopy were be recorded.
Results. Data were collected from 1,469 women, with a mean age of 52.6 ± 12.65 years and a mean BMI of 29.14 ± 5.32 kg/m2. Among the patients, 499 (33.97%) had chronic hypertension and 170 (11.57%) had type 2 diabetes mellitus. Among the reasons for requesting the examination, cases of postmenopausal endometrial thickening were the most frequent (30.50%). A correlation was identified between the presence of hyperplasia without atypia and the BMI value (p = 0.031), as well as the presence of endometrial polyps and patients with chronic arterial hypertension (p < 0.001), which was not identified for diabetes (p = 0.338). Finally, there was also a correlation between cases of postmenopausal bleeding and pathological positivity for malignancy (p < 0.001). The age of the patients was considered a risk factor for both endometrial polyps and the presence or absence of malignancy (p < 0.0001 and p = 0.044, respectively).
Conclusions. The findings of this study reveal that adiposity correlates with endometrial hyperplasia without atypia. Similarly, hypertension and age correlate with endometrial polyps and postmenopausal bleeding, whereas age correlates with endometrial cancer.
