Comparison of saline infusion sonography with office hysteroscopy for the evaluation of the endometrium

Widrich, Theresa; Bradley, Linda D.; Mitchinson, Allison R.; Collins, Robert L.

doi:10.1016/s0002-9378(96)70680-4

Cited by 282 publications

(190 citation statements)

References 13 publications

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“…Wong et al reported a pain score of 1.58/5 with the use of 4mm rigid scope and C02 as distension media [2]. In a comparative study between hysteroscopy using a flexible scope and saline infusion sonography, Wildrich et al reported a similar pain score [3]. Lau et al further confirmed our results in a different study [4J.…”

Section: Discussionsupporting

confidence: 79%

Office Hysteroscopy: An Insight

Duggal

Sandeep

Tarneja

et al. 2002

Medical Journal Armed Forces India

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In clinkal gynaecology, one comes across a large number of patients with intra.uterine pathology. Various investigatiom have been devised to evaluate these disorders. Hysteroscopy, since its advent has progressed a long way to be recognized as the gold standard in diagnosing iutra-uterine patbologies. An attempt to make it an OPD procedure was encouraging. 100 cases of office bysteroscopy were peli'ormed at our centre. Pain, patient comfort and acceptability were studied. A favourable outcome was achieved and wider application is recommended.MJAFl2002, 58 : 295·297

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Section: Discussionsupporting

confidence: 79%

Office Hysteroscopy: An Insight

Duggal

Sandeep

Tarneja

et al. 2002

Medical Journal Armed Forces India

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“…For the determination of the presence of submucous myomas in several studies, sensitivity, specificity and positive and negative predictive values of hysteroscopy did not differ significantly from those of SIS [31,32,40], although, in other studies, these were lower: sensitivity 82%, specificity 87% [36].…”

Section: Hysteroscopymentioning

confidence: 84%

“…The advantages over hysteroscopy include the ability to visualise both uterine cavity and wall simultaneously, the fact that the procedure is possible even in the case of heavy bleeding, and the lower burden it imposes on the patient in terms of pain [40], but it remains to be proven whether this is still valid in comparison with the vaginoscopic, or notouch, technique in hysteroscopy. Systematic studies are not available, but the existing literature on the subject suggests that the differences will then disappear of perhaps even turn around in favour of hysteroscopy [41,42].…”

Section: Sonohysterographymentioning

confidence: 99%

Submucous myomas: diagnosis and therapy

et al. 2007

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In this review problems concerning diagnosis and therapy of submucous myomas are discussed. In abnormal blood loss, especially during menstrual periods, it is probable that the submucous locations of fibroids have the strongest relationship with the symptoms. Both in diagnostic and therapeutic possibilities, in the past decennium, a wide range of fine tuning has been developed that has changed dramatically the optimal management of submucous myomas and, therefore, of bleeding abnormalities during premenopause. Over-treatment can thus be prevented: for instance, hysterectomy in menorrhagia caused by a small pedunculated submucous fibroid. New modalities of minimally invasive treatment, however, have specific intrinsic problems that justify the development of protocols for these techniques. For the diagnosis of submucous myoma, and preceding operative treatment, intrauterine diagnosis through ultrasound or hysteroscopic imaging is mandatory. Hysteroscopic treatment of submucous myomas is the method of preference, unless the abnormality is too large or too numerous. Various practical aspects of treatment are discussed. Surgery for abnormalities that are not included in the basic training package according to Goals for the education of gynaecologists, ought to be performed by a gynaecologist with additional training and experience.

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“…This approach is comparable to hysteroscopy for the detection of intrauterine lesions such as polyps and submucous leiomyomas 48,49 (Class 3). However, in the context of acute uterine bleeding, the results of contrast sonography are frequently difficult to interpret because the clot and debris existing in the endometrial cavity preclude its use in the acute setting.…”

Section: Contrast Sonographymentioning

confidence: 99%

Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline

Munro

2013

TPJ

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Acute uterine bleeding unrelated to pregnancy has been defined as bleeding "sufficient in volume as to, in the opinion of the treating clinician, require urgent or emergent intervention." The Southern California Permanente Medical Group updated its guidelines for the management of this condition on the basis of the best available evidence, as identified in a systematic review of the available literature. Given the paucity of studies evaluating this condition, the guidelines, by necessity, include recommendations largely based on opinion or other sources such as case series that are, in general, categorized as low-quality evidence. Medical interventions with single or combined gonadal steroidal agents administered parenterally or orally show promise, but more high-quality studies are needed to better define the appropriate drugs, dose, and administrative scheduling. There is also some evidence that intrauterine tamponade may be useful in at least selected cases. Special attention must be paid to both diagnosing and treating inherited disorders of hemostasis, such as von Willebrand disease, that may otherwise be underdiagnosed in both adolescent and adult women.

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Comparison of saline infusion sonography with office hysteroscopy for the evaluation of the endometrium

Cited by 282 publications

References 13 publications

Office Hysteroscopy: An Insight

Office Hysteroscopy: An Insight

Submucous myomas: diagnosis and therapy

Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline

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