{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:24:32Z","timestamp":1785414272617,"version":"3.56.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T00:00:00Z","timestamp":1686528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Outpatient hysteroscopy is a safe, feasible, and optimum procedure for the diagnosis and management of intrauterine pathologies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the best approach of outpatient hysteroscopy (vaginoscopic vs traditional) in terms of pain, duration of procedure, feasibility, safety, and acceptability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search Strategy<\/jats:title><jats:p>PubMed, Embase, Google Scholar, and Scopus were searched from January 2000 to October 2021. No filters or restrictions were applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection Criteria<\/jats:title><jats:p>Randomized controlled trials comparing vaginoscopic hysteroscopy with traditional hysteroscopy in an outpatient setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection and Analysis<\/jats:title><jats:p>Two authors independently performed a comprehensive literature search and collected and extracted data. The summary effect estimate was determined using both fixed effects and random\u2010effects models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven studies with 2723 patients (vaginoscopic [<jats:italic>n<\/jats:italic>\u2009=\u20091378] and traditional hysteroscopy [<jats:italic>n<\/jats:italic>\u2009=\u20091345]) were included. Vaginoscopic hysteroscopy was associated with a significant reduction in intraprocedural pain (standardized mean difference, \u22120.05 [95% confidence interval (CI), \u22120.33 to \u22120.23], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090%), procedural time (standardized mean difference, \u22120.45 [95% CI, \u22120.76 to \u22120.14], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200982%), and fewer side effects (relative risk, 0.37 [95% CI, 0.15\u20130.91], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090%). The procedure failure rate was similar in both approaches (relative risk, 0.97 [95% CI, 0.71\u20131.32], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200943%). Complications were mostly documented with traditional hysteroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Vaginoscopic hysteroscopy reduces the pain and duration compared with traditional hysteroscopy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14902","type":"journal-article","created":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T10:24:00Z","timestamp":1686565440000},"page":"47-55","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3156-7486","authenticated-orcid":false,"given":"Kavita","family":"Khoiwal","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  Rishikesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabia","family":"Zaman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  Rishikesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Bahurupi","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine All India Institute of Medical Sciences  Rishikesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrita","family":"Gaurav","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  Rishikesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaya","family":"Chaturvedi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  Rishikesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7230.279"},{"key":"e_1_2_10_3_1","first-page":"29","article-title":"Personal techniques and results for outpatient diagnostic hysteroscopy","volume":"2","author":"Fraser IS","year":"1993","journal-title":"Gynaecol Endosc"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.13.1610"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70196-5"},{"key":"e_1_2_10_6_1","first-page":"113","article-title":"Practicability of panoramic hyteroscopy with CO2","volume":"58","author":"Busquets M","year":"1993","journal-title":"Rev Chil Obstet Ginecol"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1201\/b13545"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(97)80019-9"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15665"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0100-72032008000100005"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/del298"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00425.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_14_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.2","author":"Higgins JPT","year":"2021"},{"key":"e_1_2_10_15_1","volume-title":"Review Manager (RevMan)","year":"2020"},{"key":"e_1_2_10_16_1","first-page":"1","article-title":"RoB2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne JAC","year":"2019","journal-title":"Br Med J"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_10_18_1","first-page":"51","article-title":"Vaginoscopic versus conventional approach to outpatient hysteroscopy. 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