Comparison of 3 dimensional sonohysterography and hysteroscopy in Premenopausal women with abnormal uterine bleeding

Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions

“…Our study was in line with Abd Elkhalek et al, [4] purpose of this study was to evaluate diagnostic accuracy of 3D saline infusion sonohysterography & hysteroscopy in detecting intracavitary uterine abnormalities in premenopausal women with abnormal uterine bleeding. Research included fifty female studied cases who had abnormal uterine bleeding & were among ages of twenty five & forty five.…”

“…3D SIS was significant with sensitivity of 50% and specificity of 96.6% while PPV was 50% and NPV was 96.6% with accuracy of 93.6% in diagnosis septum. This was supported by Abd Elkhalek et al, [4] who reported that 3D-SIS had very high specificity & precision in diagnosing endometrial polyps & fibroids, with submucous fibroids accuracy of one hundred percent, which outperformed hysteroscopy, which missed two cases with accuracy of ninety six percent & sensitivity of eighty three percent. 3D-SIS also provided precise findings in diagnosis of endometrial polyps, with sensitivity of seventy percent & precision of eighty eight percent, compared to ninety percent sensitivity & ninety six percent precision for hysteroscopy.…”

“…However, the study by Abd Elkhalek et al, [4] 3D-SIS identified normal uterine cavity in twenty four studied cases (forty eight percent), submucous fibroids in twelve studied cases (twenty four percent), & endometrial polyps in fourteen studied cases (twenty eight percent) with diagnostic performance accuracy of eighty eight percent, sensitivity of about 81.25 percent, & specificity of one hundred percent. Hysteroscopy identified normal uterine cavity in twenty two studied cases (forty four percent), submucous fibroids in ten studied cases (twenty percent), & endometrial polyps in eighteen studied cases (thirty six percent), with diagnostic performance accuracy of ninty two percent, sensitivity of about 87.…”

“…Hysteroscopy is regarded gold standard method for determining reseasons of endometrial lesions; however, it is invasive, costly, time consuming, requires general anaesthesia, & is related with some dangers like uterine perforation & genitourinary infection [4] . Saline infusion sonohysterography is minimally invasive method that distends endometrial cavity with saline to evaluate single layer of endometrial lining.…”