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Peer-reviewedCC BY 4.0The Journal of Obstetrics and Gynaecology Research

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

  • Keita Yatsuki1
  • Kazunori Nagasaka1,2
  • Kensuke Sakai2,3
  • Akiko Takashima2,4
  • Kenbun Sone2,5
  • Akemi Koshiba2,6
  • Osamu Hiraike2,7
  • Juichiro Saito2,8
  • Wataru Yamagami2,3
8 affiliations
  1. 1Department of Obstetrics and Gynecology Teikyo University School of Medicine Tokyo Japan
  2. 2Future Planning Committee, Japan Society for Hysteroscopy Tokyo Japan
  3. 3Department of Obstetrics and Gynecology Keio University School of Medicine Tokyo Japan
  4. 4Department of Obstetrics and Gynecology Toho University Sakura Medical Center Chiba Japan
  5. 5Department of Obstetrics and Gynecology Toho University Omori Medical Center Tokyo Japan
  6. 6Department of Obstetrics and Gynecology Kyoto City Hospital Kyoto Japan
  7. 7Department of Obstetrics and Gynecology Nippon Medical School Hospital Tokyo Japan
  8. 8Department of Obstetrics and Gynecology, Juntendo Tokyo Koto Geriatric Medical Center Juntendo University School of Medicine Tokyo Japan
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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.

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Cite

BibTeXRIS
BibTeX
@article{yatsuki2026hysteroscopy,
  title = {{Hysteroscopy for Retained Products of Conception in Japan: A Survey of Clinical Practice and Educational Needs}},
  author = {Keita Yatsuki and Kazunori Nagasaka and Kensuke Sakai and Akiko Takashima and Kenbun Sone and Akemi Koshiba and Osamu Hiraike and Juichiro Saito and Wataru Yamagami},
  journal = {The Journal of Obstetrics and Gynaecology Research},
  year = {2026},
  month = nov,
  doi = {10.1111/jog.70564},
  url = {https://doi.org/10.1111/jog.70564},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Hysteroscopy for Retained Products of Conception in Japan: A Survey of Clinical Practice and Educational Needs
AU  - Keita Yatsuki
AU  - Kazunori Nagasaka
AU  - Kensuke Sakai
AU  - Akiko Takashima
AU  - Kenbun Sone
AU  - Akemi Koshiba
AU  - Osamu Hiraike
AU  - Juichiro Saito
AU  - Wataru Yamagami
PY  - 2026
DA  - 2026/11/08
JO  - The Journal of Obstetrics and Gynaecology Research
DO  - 10.1111/jog.70564
UR  - https://doi.org/10.1111/jog.70564
AB  - 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.
SN  - 1341-8076
SN  - 1447-0756
ER  -