Implementation of Hysteroscopy in Flanders and the Netherlands

Study Overview
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Brief Summary
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By means of a questionnaire the investigators will study the implementation of hysteroscopy in Flanders and the Netherlands

Detailed Description
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Hysteroscopy is a minimally invasive method for diagnosis and treatment of intra-uterine abnormalities. Complication and failure rates are low because of the direct visualisation of the treated abnormality. Moreover, hysteroscopic procedures replaced 'blind' (curettage) and more invasive interventions (hysterectomy). The field of hysteroscopy has developed over the years. Changes occurred in hysteroscopic instruments and in the use of energy sources. An important development is the smaller diameter of the hysteroscopic system which makes it suitable for an outpatient setting. Not every gynaecologist, however, has the appropriate hysteroscopic skills or setting to carry out these procedures. The incorporation of hysteroscopic procedures into daily practice in Flanders is unclear. In the Netherlands 2 surveys were conducted in the past to question the treatment options for polypectomy in an outpatient setting on the one hand and the diffusion of hysteroscopy on the other hand. The investigators want to study the diffusion of hysteroscopy in Flanders and the Netherlands. Moreover the investigators want to provide an overview of the hysteroscopic procedures implemented, as well as the setting they are performed in. An electronic questionnaire (LimeService) will be sent to all gynaecologists in Flanders and the Netherlands. Participation is voluntary and anonymous. After informed consent all gynaecologists are asked to complete the first part of the questionnaire containing general information. The second part is specific for gynaecologists performing hysteroscopy themselves, and inquires about the procedures they carry out.

Official Title
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Implementation of Hysteroscopy in Flanders and the Netherlands

Conditions
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Hysteroscopy, Minimally Invasive Surgical Procedures, Polyp, Myoma, Uterine Septum, Placental Remnant, Adhesiolysis

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: gynaecologist Exclusion Criteria: residents in training for gynaecology/obstetrics
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire: Implementation of hysteroscopy | the amount of gynaecologists performing hysteroscopy in relation to the total of gynaecologists participating in the questionnaire | August 2016, questionnaire will be sent once at the start of the study | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire: setting for performing diagnostic hysteroscopy | in which setting (office/operating room) diagnostic hysteroscopies are performed in relation to the total amount of diagnostic hysteroscopies performed | August 2016, questionnaire will be sent once at the start of the study | 
| Questionnaire:Instrumentation used for hysteroscopy | which instrumentation is used for specific hysteroscopic procedures. | August 2016, questionnaire will be sent once at the start of the study | 
| Questionnaire: Diagnostic and techniques in the treatment of intrauterine pathology | which diagnostics and techniques are used in the treatment of intrauterine pathology | August 2016, questionnaire will be sent once at the start of the study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hysteroscopy, Diffusion, Implementation, Diagnostic hysteroscopy, Operative hysteroscopy