Comparative study between three dimensional ultrasonography and office hysteroscopy in infertile women with uterine cavity abnormalities

Midan, Mahmoud Farouk; Eid, Samia Mohamed; ElSherbiny, Ahmed Mohamed

doi:10.1016/j.mefs.2017.06.003

Cited by 2 publications

(8 citation statements)

References 21 publications

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“…In another study, seventy-nine patients were found to have Mullerian abnormalities where 59 patients had subseptate uteri, 11 had septate uteri, 5 had bicornuate uteri and 4 had unicornuate uteri. While only twenty-one patients had intracavitary lesions 14 polyp and 7 intracavitary fibroids [7] .…”

Section: Disucssionmentioning

confidence: 95%

“…The required sample size was calculated using the IBMª SPSSª SamplePowerª version 3.0.1 [IBMª Corp., Armonk, NY, USA]. Based on an intensive literature review, the incidence of uterine polyps in the study conducted by Midan et al [2017] [7] was 14%. A total number of 96 cases was required to detect the expected incidence of 105At 95% level of significance and power of 80%.…”

Section: Sample Sizementioning

confidence: 99%

“…Another study handling the same perspective also included a total of 100 cases with a mean age of 28 years [range, 20 -39 years] [7] .…”

Section: Disucssionmentioning

confidence: 99%

“…alternatively, pelvic MRI was regarded as a non-invasive tool to substitute the simultaneous hysteroscopy laparoscopy to detect the Müllerian anomalies [10] . but it is high-priced and not simply accessible [7,11] .…”

Section: Disucssionmentioning

confidence: 99%

“…Also, the recently wide use of 3D TVs with the advantage of having the privilege of coronal view, accuracy, and pain-free, has revolutionized its place for evaluating uterine cavity and to be a good alternative to the previous gold standards [combined hysteroscopy with laparoscopy or the MRI] [7] . Additionally, several past studies documented that pelvic [MRI], [SIS] as well as hysterosalpingo contrast sonography are not higher or more accurate to 3D ultrasonography [11,12] .…”

Section: Disucssionmentioning

confidence: 99%

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Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss

Farag¹,

Mahmoud

Rashed

2020

International Journal of Medical Arts

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Background: Recurrent pregnancy loss [RPL] is one of the most frustrating and difficult areas in reproductive medicine. Aim of the work: This prospective study aims to evaluate the roles of ultrasound and hysteroscopy in recurrent pregnancy loss. Patients and Methods: A total of 100 patients who had a history of two or more RPL had been included. All patients had been subjected to complete history taking, thorough clinical and gynecological examination, three-dimensional [3D] ultrasound and hysteroscopy. Results: The mean age was 27.43 years. In addition, 45% of the included females had two previous RPL while 55% of them had three or more RPL. Hysteroscopy revealed normal findings in 80 cases [80%], endometrial polyp in 7%, submucous myoma in 3%, uterine septum in 6%, and uterine synechiae in 4%. On the other side, three-dimensional ultrasound [3D US], normal findings had been detected in 83 cases [83%], endometrial polyp in 6%, submucous myoma in 3%, uterine septum in 5%, bicornuate uterus in 1%, and uterine synechiae in 2%. There was a statistically significant correlation between the two techniques in detection of the uterine findings in cases of RPL [p =0.001]. Conclusion: Three-dimensional ultrasonography is the best tool for diagnosis of different types of Mullerian duct anomalies whereas hysteroscopy is better in diagnosis of intracavitary lesions.

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Section: Disucssionmentioning

confidence: 95%

Section: Sample Sizementioning

confidence: 99%

“…Another study handling the same perspective also included a total of 100 cases with a mean age of 28 years [range, 20 -39 years] [7] .…”

Section: Disucssionmentioning

confidence: 99%

Section: Disucssionmentioning

confidence: 99%

Section: Disucssionmentioning

confidence: 99%

See 3 more Smart Citations

Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss

Farag¹,

Mahmoud

Rashed

2020

International Journal of Medical Arts

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Can three-dimensional transvaginal sonography replace office hysteroscopy in detecting uterine abnormalities in infertility patients?

Naredi¹,

Sharma

Gurmeet³

2021

J Hum Reprod Sci

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Background: Evaluation of uterine cavity is an important step during investigation of infertile women. The presence of uterine pathology causes impaired receptivity, failed implantation and poor pregnancy outcomes. Various investigative modalities though available; have their limitations. Hysteroscopy considered the gold standard diagnostic modality is invasive; thus, an investigation which could overcome its limitations was required. 3-Dimensional transvaginal sonography (3D TVS), which non-invasively visualizes uterine morphology, registers all three imaging planes simultaneously could be an alternative to hysteroscopy. Aim: To compare 3-D TVS with the gold standard office hysteroscopy for evaluating uterine cavity in sub fertile women. Setting and Design: It was a comparative study carried out at the Reproductive Medicine Centre of a tertiary care hospital. Materials and Methods: Over 12 months , 154 women with infertility underwent both hysteroscopy and 3D TVS. The primary outcome was to compare the sensitivity and specificity of 3D TVS in diagnosing endouterine abnormalities and assess if 3-DTVS could replace hysteroscopy for evaluation of uterine cavity. Statistical Analysis: The sensitivity, specificity, positive and negative predictive value and diagnostic accuracy of the 3-D TVS was calculated. Results: The 3-D TVS had a sensitivity of 88.46% ; specificity of 99.21% for detection of uterine abnormalities with hysteroscopy as gold standard. The Positive Predictive Value was 95.83%; Negative Predictive Value 97.69% and diagnostic accuracy was 97.4%. It was seen that of 24 lesions diagnosed by 3D TVS, hysteroscopy was in agreement with 21 lesions. Conclusion: 3D TVS with advantages of giving better spatial orientation, non-invasive, pain free, can replace hysteroscopy for screening endouterine lesions. With no statistically significant superiority of hysteroscopy over 3D TVS as seen in this study it may be deemed unnecessary in 50% patients having normal uterine cavity.

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Comparative study between three dimensional ultrasonography and office hysteroscopy in infertile women with uterine cavity abnormalities

Cited by 2 publications

References 21 publications

Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss

Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss

Can three-dimensional transvaginal sonography replace office hysteroscopy in detecting uterine abnormalities in infertility patients?

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