A Decade-Long Review of Outpatient Hysteroscopic Procedures in Southwestern Nigeria: 2012–2023

Background: Hysteroscopy is a widely used diagnostic and treatment technique for assessing and correcting uterine pathologies and their associated symptoms. The aim of this study is to assess the types and prevalence of hysteroscopy findings among women seen in our healthcare facility over a ten-year period. Materials and Methods: This was a retrospective study conducted at a secondary healthcare facility in Lagos State, between 2012 and 2023. The records of 888 women with primary or secondary infertility who underwent hysteroscopy were included in this study. Information, including body mass index (BMI), parity, age, surgical histories, the type of hysteroscopy procedure undergone, and findings, was retrieved from their records. The retrieved data were analyzed using SPSS version 21. Results: The mean age and body mass index (BMI) of the women were 38.91 years and 28.31, respectively, with 518 (75.7%) being either overweight or obese. More than half (447; 51.7%) of the women had primary infertility. In all, 827 (93.2%) of the women had abnormal hysteroscopy presentations, with 780 (87.9%) having single pathologies. The commonest pathological findings were adhesions 289 (34.9%), polyps 209 (25.2%), and fibroids 202 (24.4%). The commonest operative hysteroscopies performed were adhesiolysis (300; 40.7%), polypectomy (207; 28.0%), and myomectomy (187; 25.3%). Conclusions: Findings from this study demonstrate the need to widen the use of minimal access surgery in Nigeria, including hysteroscopy in routine evaluation and correction of uterine lesions.