Comparison of transvaginal sonography, saline infusion sonography, and office hysteroscopy in reproductive-aged women with or without abnormal uterine bleeding

Kelekçi, Sefa; Kaya, Erdal; Alan, Murat; Alan, Yasemin; Bilge, Ümit; Mollamahmutoğlu, Leyla

doi:10.1016/j.fertnstert.2005.03.036

Cited by 79 publications

(60 citation statements)

References 15 publications

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“…26 Kelekci et al found sensitivity of 87.5% and specificity of 100% for hysteroscopy in detecting intracavitary abnormalities. 27 In our present study detection of intracavitary lesion was 100%. Hysteroscopy diagnosed polyps, hyperplasia and sub mucosal myoma with 100% accuracy.…”

Section: 23supporting

confidence: 53%

The role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation following blind dilatation and curettage

Valson

Kulkarni

Mukerjee

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Section: 23supporting

confidence: 53%

The role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation following blind dilatation and curettage

Valson

Kulkarni

Mukerjee

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…(2005) where he reported that hysteroscopy had 81.3% sensitivity and 99% specificity. [6] The results also corresponded to results of Grimbizis GF et al [7] The endometrial thickness was significantly lower (p <0.001) among patients with normal atrophic endometrium than in other lesions .Five millimeter endometrial thickness was taken as a cut -off, below which the endometrium was considered normal atrophic and if it is equal or more than 5 mm, endometrial lesion is expected. Similar results were found in studies of Smith Bindman R et al that when an endometrial thickness threshold of 4 or 5 mm is used, the sensitivity for detecting endometrial carcinoma approaches 95%.…”

Section: Resultsupporting

confidence: 81%

TO COMPARE THE RESULTS OF TVS AND SIS WITH HYSTEROSCOPY AND HISTOPATHOLOGICAL EXAMINATION IN PERIMENOPAUSAL & POSTMENOPAUSAL BLEEDING

Mishra¹,

Misra²,

Mangal³

2015

jemds

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AIMS AND OBJECTIVES:To compare the results of TVS and SIS with hysteroscopy and histopathological findings. MATERIAL AND METHOD: This prospective study was conducted in patients attending the outpatient clinic with perimenopausal & postmenopausal bleeding. They all were subjected to transabdominal ultrasound to localise the pathology as the screening procedure. Patients with endometrial pathology underwent endometrial biopsy after TVS, Saline Infusion Sonohysterography (SIS) & hysteroscopy. Endometrial tissue was sent for histopathological examination. RESULTS: Sensitivity and specificity of TAS 52.3% & 63.2% while that of TVS is 73.9% &73.7% respectively. Positive Predictive Value and Negative Predictive Value of TVS were also found to be higher than that of TAS and were 77.3% &70% and 63.7% & 53.2% respectively. On comparison of statistical values of TVS with that of hysteroscopy taking histopathology as gold standard, the sensitivity and specificity of TVS were 73.9% and 73.7%, respectively as compared to sensitivity and specificity of hysteroscopy which were 78.3% and 84.7% respectively. The positive predictive value of TVS was 77.3% as compared to 85.4% for hysteroscopy. The sensitivity and specificity of SIS were 77.9% and 83.5%, respectively as compared to sensitivity and specificity of hysteroscopy which were 78.3% and 84.2% respectively. The diagnostic accuracy of SIS was (79.1%) as compared to diagnostic accuracy of hysteroscopy (81 %). Five mm endometrial thickness was taken as a cut -off below which the endometrium was considered normal atrophic and if it is equal or more than 5 mm, endometrial lesion is expected. CONCLUSION: Among TVS, SIS & hysteroscopy it was seen that hysteroscopy has the highest diagnostic accuracy for endometrial pathology. For endometrial pathology the TVS could be used as a first choice diagnostic screening test in the investigation of women with perimenopausal and postmenopausal bleeding. TVS can select those cases in which the likelihood of endometrial pathology is high. SIS has advantages over office hysteroscopy that it is better tolerated by patients and cheaper, moreover, SIS is easy to learn and can be quickly performed with minimal extra equipment as part of an ultrasound examination.

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“…The high accuracy of OH (almost 100%) is in consistence with the results reported by Kelekci (18)(19)(20). Moreover, considering the high accuracy of this method, it has been used in many studies as the gold standard to which other modalities are compared (15,16,21).…”

Section: Discussionsupporting

confidence: 77%

“…Accordingly, the diagnostic accuracy of 3D-SIS was almost 98% for all lesions. Moreover, the high accuracy of SHG for the diagnosis of intracavitary lesions, mainly polyps and submucous myomas, has been supported in some previous studies (14,(16)(17)(18)(19)21).…”

Section: Discussionmentioning

confidence: 54%

Assessment of Perimenopausal Bleeding Using Three-Dimensional Hysterography, Hysteroscopy, and Histopathology

El-Khayat

Ibraheem

Ahmed

et al. 2017

J Obstet Gynecol Cancer Res

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Background: Abnormal uterine bleeding is a very common gynecological problem, especially in perimenopausal women. Intracavitary lesions have been reported in more than 40% of the referred patients. Objectives: To compare the diagnostic accuracy of 3-dimensional sonohysterography (3D-SHG) versus hysteroscopy in the evaluation of uterine cavity in patients with perimenopausal bleeding and suspected intracavitary lesions, to evaluate the correlations between these findings and histopathological results, and to determine if 3D-SHG is superior or comparable to hysteroscopy in the diagnosis of these lesions. Methods: A total of 50 women with perimenopausal bleeding and suspected intracavitary lesions, detected by either 2D transvaginal ultrasound or hysterosalpingography, were subjected to 3D saline-infusion sonohysterography (3D-SIS), office hysteroscopy, subsequent surgical procedures (i.e., fractional curettage, hysterectomy, polypectomy, or myomectomy), and finally histopathological examinations. Results and Conclusions:Based on the findings, 3D-SIS is comparable to hysteroscopy in the diagnosis of intracavitary lesions in terms of sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy (97.83%, 100%, 100%, 80%, and 98%, respectively for 3D-SIS vs. 100%, 100%, 100%, 100%, and 100%, respectively for office hysteroscopy).

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Comparison of transvaginal sonography, saline infusion sonography, and office hysteroscopy in reproductive-aged women with or without abnormal uterine bleeding

Cited by 79 publications

References 15 publications

The role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation following blind dilatation and curettage

The role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation following blind dilatation and curettage

TO COMPARE THE RESULTS OF TVS AND SIS WITH HYSTEROSCOPY AND HISTOPATHOLOGICAL EXAMINATION IN PERIMENOPAUSAL & POSTMENOPAUSAL BLEEDING

Assessment of Perimenopausal Bleeding Using Three-Dimensional Hysterography, Hysteroscopy, and Histopathology

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