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Objective: The aim of this work was to take stock of the practice of diagnostic hysteroscopy at the Gynaecological and Obstetrical Clinic of the Aristide Le Dantec University Hospital. Materials and methods: This was a prospective, descriptive study of diagnosis hysteroscopy cases performed in our facility from June 15, 2017 to May 31, 2018 (11 months and 15 days). All patients received for diagnostic hysteroscopy were listed. The parameters studied concerned the socio-demographic characteristics, indications and results of the hysteroscopy. The hysteroscopy used the Storz Tele pack with a 30-degree optic and was ambulatory in the consulting room and consisted of vaginoscopy, exploration of the cervical-isthmic prolapse, the uterine cavity, the endometrium and the tubal ostia. A biopsy was performed in case of suspicious endometrial pathology. The data entry was carried out using Excel software and the analysis using SPSS version 20.0 software. Results: During the study period, we received 168 patients. For the epidemiological profile, the mean age of the patients was 44.7 years. Gestational and mean parity were 3.1 and 2.4, respectively. The reasons for examination were dominated by menometrorrhagia 95 cases (56.5%) and suspicion of endocavitary pathologies 68 cases (40.4%) and. In our study hysteroscopy found polypoid endometrial hypertrophy in 93 cases (60.1%) and endocavitary polyps in 25 cases (18.5%). In our series 47% of the patients over 50 years old consulted for postmenopausal metrorrhagia with a suspicious endometrial tumour. Conclusion: Hysteroscopy plays an important role in the diagnosis of intracavitary and cervico-isthmic pathologies.

Practice Of Diagnosis Hysteroscopic At Gynaecological And Obstetrics Clinic At Aristide Le Dantec Teaching Hospital, Dakar, Senegal