Blind Biopsy Can Miss Diagnoses and May Add to Treatment Delays

In the evaluation of abnormal uterine bleeding (AUB), blind biopsy alone can miss diagnoses of up to 18% of patients and may add to treatment delays.


If cancer occupies less than 50%

of the surface area of the endometrial cavity, the cancer can be missed by a blind biopsy1

Blind biopsy alone could miss the diagnosis of focal lesions in

up to 18% of patients2

Use Direct Visualization at Point-of-Care

In premenopausal ovulatory women with AUB,
hysteroscopy will detect an anatomical structural lesion

in 65-80% of patients3

Diagnose More Accurately

Endosee allows you to diagnose uterine focal pathology more accurately than endometrial biopsy alone.

Sensitivity for diagnosing polyps1

Blind Biopsy
11%

Hysteroscopy
89%

  • 0
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  • 100

Sensitivity for diagnosing myomas1

Blind Biopsy
13%

Hysteroscopy
100%

  • 0
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  • 50
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  • 100

Sensitivity for diagnosing hyperplasia1

Blind Biopsy
25%

Hysteroscopy
74%

  • 0
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Save Time and Resources

Office
Hysteroscopy VS
Diagnostic Hysteroscopy
In the OR

Office hysteroscopy can help decrease the rate of diagnostic hysteroscopy in the OR under anesthesia5

Cost-Effectiveness of Office Hysteroscopy – Study

Savings of
$1,498
Per Patient

75 of 130 women who underwent diagnostic office hysteroscopy for abnormal bleeding did not need to undergo hysteroscopy in the OR. This represents estimated savings of $1,498 per patient.5

Cost-Effectiveness of Office Hysteroscopy – Study

References

1. ACOG Practice Bulletin Number 128. 2. Goldstein S, Zeltser I, Horan C, et al. Am J Obstet Gynecol. 1997;177:102-108. 3. Isaacson K. Curr Opin Obstet Gynecol. 2002;14:381-385. 4. Garcia A. OBG Manage. 2013;25:44-48. 5. Moawad N, Santamaria E, Johnson M, Shuster J. JSLS. 2014;18:1-5.

"My patient was extremely happy that I was able to arrive at a diagnosis very quickly thanks to the Endosee procedure that was performed within the confines of my office and with no physical discomfort."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS

Average time per procedure: Less than 3 minutes Average time doctors were in the exam room per procedure: Less than 13 minutes "With Endosee, we can turn over the room in 20 minutes" – Physician feedback

  • Feedback from 106 Endosee Trials with 42 Clinicians

"Endosee is a game changer for my practice and for my patients. It is now my first line evaluation for any abnormal uterine bleeding patient before surgery as well as prioritizing patients’ disposition over a hysterosalpingogram. I can now see and evaluate the patient for polyps or most intrauterine abnormalities in my office in less visits and without the OR expense."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS

"Endosee allowed myself and the patient a direct assessment of the uterine cavity. We were both surprised to see the reoccurrence and extent of intrauterine pathology that I was not able to appreciate on pelvic sonogram."

Steven Lindhelm, MD, MMM
  • Steven Lindhelm, MD, MMM
  • Wright State University
  • Boonshaft School of Medicine

"In-office hysteroscopy benefits my patients in several different ways. For example, it eliminates unnecessary OR time, deductible expenses, exposure to anesthesia, as well as possible major complications from surgery."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS

"Endosee is shifting the paradigm of how we evaluate our patients with abnormal bleeding. It has enabled me to evaluate most of the abnormal bleeding patients right in the office instead of the operating room."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL

"Endosee employs disposable cannulas: even though we have to buy them, the cost is significantly less than having to sterilize equipment after every use."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL

"First and foremost, it saves patients the cost of visiting an operating room. Plus, there’s no need to take a full day off from work since the procedure is quick and requires no anesthesia."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL

Patients reporting no discomfort or mild discomfort* 91.5%
Procedures in which NSAIDs were used 44.2%
Procedures in which a paracervical block was used 37.5%
Procedures in which a slight dilation was used 45.1%

*Discomfort reported was mostly due to uterine distention.

  • Feedback from 106 Endosee Trials with 42 Clinicians