GYNECARE VERSASCOPE™ Hysteroscopy System
allows viewing of the cervical canal and uterine cavity

GYNECARE VERSASCOPE® System is a safe and effective mini-hysteroscopy system that provides high resolution in a 1.8mm hysteroscope. It is suitable for operative outpatient hysteroscopy and has made the possibility of “see & treat” a reality. It can be actually performed within 20 minutes, with or without the use of local anesthetic.
GYNECARE VERSASCOPE® Hysteroscopy System provides all the effectiveness and utility of larger hysteroscopy systems in a mini-hysteroscope.
New generation fiber optic technology delivers high resolution and light efficiency for clear visualization of the uterine cavity.
Quick and easy diagnostic-to-therapeutic conversions and versatile instrumentation enable a wide variety of hysteroscopic procedures safely, conveniently and more economically.
The GYNECARE VERSASCOPE® Hysteroscopy System consists of an outer stainless steel shaft, inner illumination fibers, and an imaging fiber bundle. At the distal end of the imaging bundle is the objective lens and at the other is the rotatable eyepiece. Endoscopic light sources are connected to the light post of the hysteroscope through compatible 3.5 mm light cables.

Click here to view the Versascope Brochure

A study into the outpatient versus daycase for endometrial polypectomy using GYNECARE VERSASCOPE^TMand GYNECARE VERSAPOINT^TMfound that 75% who received an endometrial polypectomy described the outpatient procedure to having mild or moderate intraoperative discomfort³. However, 58% of outpatients were pain free for the remainder of the day as opposed to 28% in the daycase patients³. These are particularly encouraging results that are further reinforced by the fact that endometrial polypectomy under direct hysteroscopic vision is more likely to completely remove the endometrial basalis layer and thus further reduces the risk of recurrence in comparison to the blind removal used in the more traditional method of using polyp forceps³.

The following day after the endometrial polypectomy, the same study found that 74% of those patients who received the outpatient treatment, described no pain when compared to the low number of 41% of daycase patients³. As a result, 90% of these outpatient patients used positive adjectives to describe the procedure as opposed to 67% of daycase patients, with 82.4% of daycase patients stating that they would prefer to undergo outpatient endometrial polypectomy if required again in the future³.

In saying that, currently 90% of gynaecologists remove intrauterine polyps in an inpatient setting using blind avulsion under general anaesthetic⁴. Not only does performing endometrial polypectomy in an outpatient setting reduce the risk of reoccurrence, it means that the patient will experience less time away from home, faster return to preoperative fitness and it obviates the needs and costs required for a daycase procedure under general anaesthesia.

Several clinical trials have found that an outpatient setting as opposed to a daycase setting, for certain procedures, substantially reduces the cost to the health service and thus highlights a need to move more towards ‘patient led services’ that where applicable are performed in an outpatient setting^2,5,6.

1. Davis JA,Miller CD. Fluid infusion during hysteroscopic surgery. In:Lewis BV,Magos AL,eds. Endometrial Ablation. London,UK: Churchill Livingstone;1993:41-56.

2. Saridogan, E., Tilden, D, Davis, N., Sykes, D, Subramanian, D. Cost minimisation analysis comparing outpatient see and treat hysteroscopy service with traditional hysteroscopy service models in the National Health Service England. University college London hospital, London, UK.

3. Marsh, F.A., Rogerson, L.J., Duffy, S.R.G. 2006. A randomised controlled trial comparing outpatient versus daycase endometrial polyperctomy. Academic Department of Obstetrics and Gynaecology, St James’s University Hospital, Leeds, UK

4. Marsh, FA, Kremer, SD, Duffy, S. A randomized controlled trial analyzing the cost of outpatient versus daycase hysteroscopy. BJOG 2004;111:243-8.

5. Clark, J., Goodwin, J., Khan, K., Gupta, J. Ambulatory endoscopic treatment of symptomatic benign endometrial polyps: a feasibility study. Gynaecol Endosc 2002;11:91.

6. Clark, TJ., Khan, KS., Gupta, JK. Current practice for the treatment of benign intrauterine polyps: a national questionnaire survey of consultant gynaecologists in UK. Eur J Gynecol Reprod Biol 2002; 103: 65-7.

Link to:

http://www.womenshealthsolutions.co.uk/
http://www.womenshealthsolutions.ie
http://www.womenhealth.ch
http://www.gynecare.de
http://www.gynecare.at
http://www.saudedamulher.com.pt

For additional information on stress urinary incontinence and gynecologic health, click on the links below:

ClinicalExpertise.com A source of online training, resources and information focused exclusively on the indications and application of our medical devices for surgical repair. Specifically designed for physicians, surgeons and other medical professionals, our self-paced curricula provide you the background you need for advanced or hands-on training as well as information about our innovative medical devices, techniques and services that can transform your practice.

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