Work

Hysteroscopy for Retained Products of Conception in Japan: A Survey of Clinical Practice and Educational Needs

Year: 2026

Type: article

Abstract: AIM: To characterize the use of hysteroscopy for the management of retained products of conception (RPOC) and identify perceived barriers and educational needs among members of the Japan Society of Perinatal and Neonatal Medicine. METHODS: An anonymous online survey was conducted among members of the Japan Society of Perinatal and Neonatal Medicine from October 16 to November 15, 2024. Responses were summarized descriptively using questionnaire-branch-specific denominators. RESULTS: Seventy-seven perinatal clinicians responded, of whom 76 reported having diagnosed RPOC or suspected disease after delivery. Among these 76 respondents, 20 (26.3%) and 22 (28.9%) reported using diagnostic and operative hysteroscopy, respectively. Sixteen of the 20 diagnostic users (80.0%) reported obtaining useful information, and none reported complications during diagnostic hysteroscopy. Two operative users reported a complication or residual tissue, and one did not answer the complication question; these responses could not be used to estimate patient-level complication rates. Among 56 respondents who reported not using hysteroscopy to diagnose RPOC, 20 (35.7%) expressed interest in using it. The most frequently reported barriers were equipment and environmental limitations (26/56, 46.4%) and safety concerns (24/56, 42.9%). Overall, 56 of the 77 respondents (72.7%) expressed interest in hands-on seminars or training courses. CONCLUSIONS: Diagnostic and operative hysteroscopy for RPOC were each used by fewer than one-third of respondents who answered the relevant management questions, whereas interest in training was common. These findings identify perceived barriers and educational needs that may inform hysteroscopy training and referral arrangements for RPOC care.

Source: Journal of obstetrics and gynaecology research

DOI: 10.1111/jog.70564