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Operative hysteroscopy outpatient clinic (SHINE award)

Led by Mr Richard Penketh (Consultant Obstetrician and Gynaecologist) the Cardiff Shine team established an operative hysteroscopy outpatient clinic for treatment of uterine fibroids and polyps under local anaesthetic using reusable equipment. This procedure is conventionally done in surgical theatres under general anaesthetic which is inconvenient for patients, has associated risks, and has a high resource-use burden. CEDAR carried out independent patient satisfaction phone interviews, analysis of the clinical data, and an economic evaluation of the clinic compared to standard care under general anaesthetic in theatres.

Penketh R.J.A., Bruen E.M., White J., Griffiths A.N., Patwardhan A., Lindsay P., Hill S., Carolan-Rees G. (2014) Feasibility of resectoscopic operative hysteroscopy in a UK outpatient clinic using local anaesthetic and traditional reusable equipment, with patient experiences and comparative cost analysis. Journal of Minimally Invasive Gynaecology Sep-Oct;21(5):830-6.