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A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period.
Thesis (MMed)--Stellenbosch University, 2025.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613807020343296 |
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| access_status_str | Open Access |
| author | Khan, Imraan |
| author2 | Mbungu, Noma |
| author_browse | Khan, Imraan Mbungu, Noma |
| author_facet | Mbungu, Noma Khan, Imraan |
| author_sort | Khan, Imraan |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/134656 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:42:00.137Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/134656 A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. Khan, Imraan Mbungu, Noma Matsaseng, Thabo Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology. Hysteroscopy -- Complications Prenatal diagnosis Hospitals -- Outpatient services Patient-centered health care Thesis (MMed)--Stellenbosch University, 2025. Khan, I. 2025. A Retrospective Audit of Out-Patient Hysteroscopy at Tygerberg Hospital over a Five-Year Period. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/31ddd86a-2579-4e71-ad4b-340939ba2d21 ENGLISH ABSTRACT: Background: Outpatient hysteroscopy is a widely used diagnostic and therapeutic procedure for addressing various intrauterine pathologies, including abnormal uterine bleeding (AUB), postmenopausal bleeding (PMB), and infertility. Its minimally invasive nature reduces the need for general anaesthesia and inpatient care, promoting efficiency and patient comfort. This study presents a retrospective audit of outpatient hysteroscopy procedures at Tygerberg Hospital over a five-year period (2015–2019). Objectives: The primary objective was to evaluate the indications for outpatient hysteroscopy, while the secondary objective focused on assessing the complication rates associated with the procedures. Methods: A retrospective cross-sectional study was conducted using data from 1,966 patients who underwent outpatient hysteroscopy. Key data points included patient demographics, procedural indications, and complications. Statistical analysis was performed to determine the distribution of indications and identify trends in procedural outcomes and safety. Results: The most common indication was PMB (45.27%), followed by AUB (16.33%) and suspected uterine anomalies (10.33%). Other indications included recurrent pregnancy loss (8.09%), polyps (6.05%), and fibroids (4.37%). The procedure was completed successfully in 90.13% of cases, with only 7.32% classified as incomplete, mainly due to cervical stenosis (3.46%) and pain (2.54%). The overall complication rate was low (1.12%), with three cases of perforation and bleeding reported. No fluid overload or infections were observed. Conclusion: Outpatient hysteroscopy at Tygerberg Hospital proved to be a safe and effective procedure with minimal complications. The findings underscore its importance in managing PMB, AUB, and other intrauterine pathologies. Expanding outpatient hysteroscopy services, coupled with enhanced registrar training, can further optimize patient care and resource allocation. Future research should incorporate patient-reported outcomes to provide a more comprehensive evaluation of the service. AFRIKAANSE OPSOMMING: Agtergrond: Buitepasiënt-histeroskopie is ’n wyd gebruikte diagnostiese en terapeutiese prosedure vir die hantering van verskeie intra-uteriene patologieë, insluitend abnormale uteriene bloeding (AUB), postmenopousale bloeding (PMB) en onvrugbaarheid. Die minimaal indringende aard daarvan verminder die behoefte aan algemene narkose en binnenshuise sorg, wat doeltreffendheid en pasiëntgerief bevorder. Hierdie studie bied ’n retrospektiewe oorsig van buitepasiënt- histeroskopie-prosedures by Tygerberg-hospitaal oor ’n vyfjaarperiode (2015–2019). Doelwitte: Die primêre doel was om die aanduidings vir buitepasiënt-histeroskopie te evalueer, terwyl die sekondêre doel gefokus het op die assessering van komplikasietempo’s wat met die prosedures geassosieer word. Metodes: ’n Retrospektiewe deursnee-studie is uitgevoer met data van 1,966 pasiënte wat buitepasiënt-histeroskopie ondergaan het. Sleuteldata het pasiënte-demografie, prosedurele aanduidings en komplikasies ingesluit. Statistiese analise is gedoen om die verspreiding van aanduidings te bepaal en neigings in prosedurele uitkomste en veiligheid te identifiseer. Resultate: Die algemeenste aanduiding was PMB (45.27%), gevolg deur AUB (16.33%) en vermoedelike uteriene afwykings (10.33%). Ander aanduidings het herhalende swangerskapverlies (8.09%), poliepe (6.05%) en fibroïede (4.37%) ingesluit. Die prosedure is suksesvol afgehandel in 90.13% van die gevalle, met slegs 7.32% as onvolledig geklassifiseer, hoofsaaklik as gevolg van servikale stenose (3.46%) en pyn (2.54%). Die algehele komplikasietempo was laag (1.12%), met drie gevalle van perforasie en bloeding. Geen vloeistofoorlading of infeksies is waargeneem nie. Gevolgtrekking: Buitepasiënt-histeroskopie by Tygerberg-hospitaal het bewys dat dit ’n veilige en effektiewe prosedure is met minimale komplikasies. Die bevindinge beklemtoon die belangrikheid daarvan in die hantering van PMB, AUB en ander intra-uteriene patologieë. Die uitbreiding van buitepasiënt-histeroskopie-dienste, tesame met verbeterde opleiding van registrateurs, kan pasiënteversorging en hulpbron-toewysing verder optimaliseer. Toekomstige navorsing behoort pasiëntverslag-uitkomste in te sluit om ’n meer omvattende evaluering van die diens te lewer. Masters 2025-12-22T09:15:40Z 2025-12-22T09:15:40Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134656 en Stellenbosch University 42 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Hysteroscopy -- Complications Prenatal diagnosis Hospitals -- Outpatient services Patient-centered health care Khan, Imraan A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. |
| title | A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. |
| title_full | A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. |
| title_fullStr | A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. |
| title_full_unstemmed | A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. |
| title_short | A retrospective audit of out-patient hysteroscopy at Tygerberg hospital over a five-year period. |
| title_sort | retrospective audit of out patient hysteroscopy at tygerberg hospital over a five year period |
| topic | Hysteroscopy -- Complications Prenatal diagnosis Hospitals -- Outpatient services Patient-centered health care |
| url | https://scholar.sun.ac.za/handle/10019.1/134656 |
| work_keys_str_mv | AT khanimraan aretrospectiveauditofoutpatienthysteroscopyattygerberghospitaloverafiveyearperiod AT khanimraan retrospectiveauditofoutpatienthysteroscopyattygerberghospitaloverafiveyearperiod |