A powerful value of hysteroscopy

Wang, Peng-Hui

doi:10.4103/gmit.gmit_71_18

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…TVUS is much more acceptable to most obstetricians and gynecologists, being simple, inexpensive, minimally invasive, and relatively well-tolerated by patients. HS is considered much more invasive and costly, but better diagnoses endometrial disorders (8). Although the diagnostic accuracies of various methods used to evaluate AUB remain controversial, recent large-scale studies have shown that the sensitivity and specificity of HS are higher than those of TVUS (5).…”

Section: Discussionmentioning

confidence: 99%

The comparison of transvaginal ultrasonography and hysteroscopy in women with abnormal uterine bleeding: A single center experience

Yenigül¹,

Yılmaz²,

Bahat³

et al. 2019

Ann Med Res

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The aim of this study is to compare the diagnostic accuracy of transvaginal ultrasonography and hysteroscopy in the detection of intracavitary abnormalities that presented with abnormal uterine bleeding. Material and Methods: 216 women with uterine bleeding involve in this study. In this retrospective study, the diagnostic accuracy of transvaginal ultrasonography and hysteroscopy were compared to their corresponding pathology results in both prepostmenopausal (n:145) and postmenopausal (n:71) women. To compare these three methods more reliably, we used Kappa analyses. Results: In postmenopausal group with endometrial polyp and myomas; sensitivity of transvaginal ultrasonography is 68.2% to 40% dilatation & curettage, specificity is 33.3% to 97% and Kappa value is 0.016 to 0.407. Sensitivity of hysteroscopy is 97.7% to 40% dilatation & curettage, specificity is 74.1% to 100% and Kappa values is 0.75 to 0.553. Specificity of transvaginal ultrasonography is 98.3% to hysteroscopy, specificity of transvaginal ultrasonography is 98.1% to dilatation & curettage, sensitivity of hysteroscopy is 47.1% and specificity is 90.7% to dilatation & curettage and Kappa value is 0.411 with normal patients in the same group. Conclusion: In postmenopausal patients transvaginal ultrasonography has a high chance of detecting when there is an endometrial pathology. Transvaginal ultrasonography is not sensitive enough to use solely in order to exclude polyps and fibroids in abnormal uterin bleeding. Therefore, hysteroscopy can be applied even if transvaginal ultrasonography is normal in these patients.

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Section: Discussionmentioning

confidence: 99%

The comparison of transvaginal ultrasonography and hysteroscopy in women with abnormal uterine bleeding: A single center experience

Yenigül¹,

Yılmaz²,

Bahat³

et al. 2019

Ann Med Res

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“…Fragments can be easily removed like a foreign body with slicing loop and, for the most adherent pieces, electrified loop can be used, while some authors prefer a hysteroscopic grasper. [ 10 11 12 ] After osseous fragments removal by hysteroscopy or dilatation and curettage, 55.6% of the infertile patients achieved a pregnancy, spontaneous pregnancy should be expected for at least 1 year following the “complete” restoration of the endometrial cavity. Hysteroscopy has abundantly proved successful in the treatment of EOM cases associated with infertility.…”

Section: Anagementmentioning

confidence: 99%

“…In patients with extensive plaques of EOM and bone fragments embedded in the myometrium, where satisfactory hysteroscopic removal is difficult, the usefulness of laparoscopic control during the procedure has been highlighted, which allows for greater accuracy and minimization of risks and complications such as uterine perforation. [ 10 11 12 13 14 15 ] At hysteroscopy, osseous metaplasia appears as osseous lamellae, white in color, fan or disc-shaped, and embedded in the mucosa, or as an intracavitary structure. On reviewing the literature, this kind of complication was not discovered until hysterectomy in some patients and was misdiagnosed in several cases.…”

Section: Anagementmentioning

confidence: 99%

Endometrial Osseous Metaplasia: An Hysteroscopic Incidental Finding – An Overview

Damiani¹,

Gennaro²,

Malvasi³

et al. 2023

Gynecology and Minimally Invasive Therapy

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Endometrial osseous metaplasia (EOM) is an uncommon clinical entity with the presence of bone in the endometrium which requires clinical and therapeutic framework. It is also described by various other names such as endometrial ossification, ectopic intrauterine bone, and heterotopic intrauterine bone. Ossification could have various locations as the cervix the ovary, and the vagina. This overview highlights the attention on the actual pivotal points of EOM.

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“…Operative hysteroscopy using resectoscope is a standard procedure for treating uterine lesions like submucous myomas, endometrial polyps, uterine septa, and intrauterine adhesions. [ 1 ] It is also used for endometrial resection or ablation in women with heavy menstrual bleeding. [ 2 ] Conventional resectoscopes have a diameter of 8–9 mm, which makes cervical dilatation necessary before resectoscope insertion in most women.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Efficacy of Vaginal Misoprostol versus a Synthetic Osmotic Dilator (Dilapan-S) for Cervical Preparation before Operative Hysteroscopy: A Randomized Controlled Study

Nair,

Subbaiah,

Maurya

2023

Gynecology and Minimally Invasive Therapy

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Objectives: To compare the need for mechanical cervical dilatation following vaginal misoprostol or synthetic osmotic dilator (Dilapan-S) usage for cervical preparation before operative hysteroscopy. Materials and Methods: Fifty-five premenopausal women scheduled for operative hysteroscopic procedures with a 26 Fr resectoscope were included in this randomized, controlled clinical trial. After randomization, either 400 μg of vaginal misoprostol or intracervical synthetic osmotic dilator (Dilapan-S) was inserted 12 h before operative hysteroscopy. The need for additional mechanical cervical dilatation before insertion of the resectoscope was compared between the two groups. Initial cervical diameter before mechanical dilatation, intraoperative complications (cervical tears, creation of a false passage), and ease of dilatation were also compared between the two groups. Results: In the misoprostol group, 92% of women required additional mechanical cervical dilatation, whereas only 36% of women in the Dilapan-S group required additional dilatation (P < 0.05). The median initial cervical diameter achieved with Dilapan was 9 mm (Q1: 7 mm; Q3: 10 mm), and with misoprostol, it was 6 mm (Q1: 4.5 mm; Q3: 8 mm) (P < 0.05). There was no significant difference in other outcome parameters between the two groups. Conclusion: Synthetic osmotic dilator (Dilapan-S) is more efficacious than vaginal misoprostol at ripening the cervix before operative hysteroscopy.

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A powerful value of hysteroscopy

Cited by 8 publications

References 10 publications

The comparison of transvaginal ultrasonography and hysteroscopy in women with abnormal uterine bleeding: A single center experience

The comparison of transvaginal ultrasonography and hysteroscopy in women with abnormal uterine bleeding: A single center experience

Endometrial Osseous Metaplasia: An Hysteroscopic Incidental Finding – An Overview

Comparison of Efficacy of Vaginal Misoprostol versus a Synthetic Osmotic Dilator (Dilapan-S) for Cervical Preparation before Operative Hysteroscopy: A Randomized Controlled Study

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