An evaluation of sonohysterography and diagnostic hysteroscopy for the assessment of intrauterine pathology

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
P SchwärzlerT Bourne

Abstract

The availability of advanced hysteroscopic surgical techniques has changed the management of abnormal uterine bleeding. The aim of this study was to evaluate the use of transvaginal sonography (TVS), sonohysterography (SH) and diagnostic hysteroscopy (DH) for the preoperative assessment of the uterine cavity. The plan was to investigate 100 patients with abnormal uterine bleeding despite conventional medical treatment. The endpoints were uterine abnormalities detected by operative hysteroscopy and histology, and subjective estimates of discomfort during TVS and SH. A total of 104 patients (aged 26-79 years) were recruited and 98 (94%) underwent all three diagnostic procedures. Uterine abnormalities were present in 52 patients (53%). There were 25 cases with at least one endometrial polyp, 17 with submucous fibroids, seven with endometrial hyperplasia and three with an adenocarcinoma. The overall sensitivity of TVS improved after SH from 67 to 87% and the specificity from 89 to 91%. The positive predictive value increased from 88 to 92% and the negative predictive value from 71 to 86%. The use of SH also improved the quality of information about the location and size of polyps and submucous fibroids. Increased endometrial thickn...Continue Reading

Citations

Oct 2, 2012·Journal of Obstetrics and Gynaecology of India·Gita GuinShashi Khare
Sep 15, 2004·Fertility and Sterility·UNKNOWN Practice Committee of the American Society for Reproductive Medicine
Sep 13, 2003·Fertility and Sterility·Salvatore DessoleGiovanni Battista Nardelli
Nov 14, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·L CravelloB Blanc
Jun 1, 2002·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Laurent BonnamyJacques Lansac
Jul 24, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Lynne RogersonSean Duffy
Sep 13, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Janesh K GuptaKhalid S Khan
Mar 17, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J P BernardF Lecuru
Aug 8, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M DueholmP Kracht
Jun 26, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K Jones, T Bourne
Sep 1, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E EpsteinL Valentin
Mar 10, 2001·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·A. ObermairC. Kainz
Apr 21, 2004·Obstetrical & Gynecological Survey·Ben E MontgomeryCharles J Dunton
Jul 3, 2004·Current Opinion in Obstetrics & Gynecology·T Justin Clark
Jun 25, 2005·Current Opinion in Obstetrics & Gynecology·Stefano BettocchiLuigi Selvaggi
Dec 24, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Smiti NandaKrishna Sangwan
Jul 31, 1999·British Journal of Obstetrics and Gynaecology·C P Spencer, M I Whitehead
Jul 17, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·C FarquharUNKNOWN Working Party of the New Zealand Guidelines Group
Jan 15, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·P A Kraus, R J Boston
Dec 24, 2011·AJR. American Journal of Roentgenology·Mousumi BhaduriPhyllis Glanc
Jul 20, 2001·AJR. American Journal of Roentgenology·L E HannS M Francis
Jan 5, 2002·AJR. American Journal of Roentgenology·Sherelle Laifer-NarinEdward G Grant
Apr 13, 2005·Human Fertility : Journal of the British Fertility Society·Myvanwy McIlveen, Tin-Chiu Li
May 8, 2013·Climacteric : the Journal of the International Menopause Society·M AdelH Farag
Sep 10, 2013·Journal of Minimally Invasive Gynecology·Shiri ShinarIshai Levin
Jun 16, 2012·Fertility and Sterility·UNKNOWN Practice Committee of American Society for Reproductive Medicine
Dec 27, 2011·Journal of Minimally Invasive Gynecology·UNKNOWN American Association of Gynecologic Laparoscopists
Jul 26, 2011·Journal of Minimally Invasive Gynecology·S SalimJ Abbott
Jul 2, 2004·Obstetrics and Gynecology·Daniel M BreitkopfRussell R Snyder
Mar 1, 2006·Obstetrics and Gynecology Clinics of North America·Danielle Vitiello, Shirley McCarthy
Mar 12, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Chayanis ApirakviriyaWirach Wisawasukmongchol
Oct 11, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Cornelis D de KroonFrank Willem Jansen
Apr 3, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S N BeemsterboerH A M Brölmann
Nov 15, 2006·The Journal of Obstetrics and Gynaecology Research·Chatpavit Getpook, Saranya Wattanakumtornkul
Feb 28, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E DreislerG Lose
May 23, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·H van DongenF W Jansen

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
G AyidaS Kennedy
Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
J P BernardR Taurelle
Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
L BronzT Rusca
© 2022 Meta ULC. All rights reserved