Hysteroscopy in Bayelsa state of Nigeria. A Surgical Divide; Research Article
31-Dec-2021 12:00 AM 4719

Background: Hysteroscopy has revolutionized gynaecological practice, improving the management of appreciable number of gynecological problems. It is right now a benchmark of the gynaecologicspecialists armamentarium. Aim:To assess the knowledge, practices and challenges of hysteroscopy amongst Doctors in Bayelsa state, creating awareness on this novel endoscopic procedure to improve on our surgical armamentarium. Methodology: This is a descriptive cross sectional study of Doctors in Federal Medical Centre, Yenagoa, Niger Delta University Teaching Hospital, Okolobiri, and Private Hospitals in Bayelsa State. A structured selfadministered questionnaire was designed and used to collect information from 192 Doctors cutting across Medical and most especially Surgical disciplines. Data was analyzed with SPSS windows version 20. Results: Of the 192 respondents, 149 (77.6) showed low knowledge as against 4 (2.1%) that showed high level of knowledge while 39 (20.3%) expressed moderate knowledge. Only 12 (6.3%) of the 192 respondents have had a formal training in hysteroscopy. Of this 6.3%, only 1 (8.3%) of the respondents had performed hysteroscopy on his own. Conclusion: Despite the fact that hysteroscopy is currently a benchmark for gynaecological practice, there is a surgical divide for us in Bayelsa state and maybe other resource poor setting worldwide. Lack of equipment and enabling environment for training in the art of Hysteroscopy are major contributors. However withpolitical will, increasing knowledge and training of Doctors and support staff, collaboration with international partners endowed with endoscopic skills will go a long way in improving practice of hysteroscopy and service delivery in our environment.

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