Comparison of transvaginal ultrasonography and saline infusion sonography for the detection of intracavitary abnormalities in premenopausal women

Dijkhuizen, F. P. H. L. J.; Vries, Laila D. de; Mol, Ben Willem J.; Brölmann, Hans A.M.; Peters, H. M.; Moret, Eveline; Heintz, A. Peter M.

doi:10.1046/j.1469-0705.2000.00115.x

Cited by 85 publications

(54 citation statements)

References 14 publications

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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: 83%

“…In comparative studies between various methods of intra-uterine diagnostic procedures, SIS appears to be more reliable than transvaginal ultrasound alone and as predictive as hysteroscopy. The reliability of transvaginal ultrasound increases with the addition of saline solution as a contrast medium [17,[33][34][35][36]. In a meta-analysis by de Kroon et al the following data were established in this respect: sensitivity 0.95 (95% CI 0.93 to 0.97), specificity 0.88 (95% CI 0.85 to 0.92), likelihood ratios 8.23 (95% CI 6.2 to 11) and 0.06 (95% CI 0.04 to 0.09) [37].…”

Section: Sonohysterographymentioning

confidence: 99%

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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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Section: Hysteroscopymentioning

confidence: 83%

Section: Sonohysterographymentioning

confidence: 99%

Submucous myomas: diagnosis and therapy

et al. 2007

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“…Dysfunctional uterine bleeding accounts for about half the cases of excessive menstrual loss [14]. It is recommended that women with AUB should be examined in total by ultrasound scan, or preferably hysteroscopy and blood tests (platelets, coagulation parameters), in order to exclude causes of bleeding that can be treated successfully [15,16].…”

Section: Introductionmentioning

confidence: 99%

Treatment options for dysfunctional uterine bleeding: evaluation of clinical results

et al. 2011

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Abnormal uterine bleeding is one of the most common problems in women of reproductive age, and dysfunctional uterine bleeding (DUB) accounts for about half the cases. The aim of this review is to present all treatment options for women suffering from DUB and to evaluate their effectiveness. A detailed search strategy on electronic databases was carried out to identify trials and reviews on management of abnormal uterine bleeding. Tranexamic acid is the most effective medical treatment. A levonorgestrel-releasing intrauterine device is a low-cost, simple, and effective medical method, comparable to hysterectomy in terms of quality of life. In cases of DUB resistant to medical treatment, surgical treatment should be offered. First-generation ablation techniques are effective, but have a long learning curve. Second-generation ablation devices are highly effective and safe alternatives, thoroughly compared to first-generation techniques. Hysterectomy is the only method that guarantees treatment of dysfunctional uterine bleeding, but is a major operation associated with higher morbidity and mortality rates. Proper counseling of each woman with DUB regarding all treatment modalities can provide the best choice for each patient. More prospective randomized trials are needed to establish the effectiveness of these methods

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“…In the current literature, it is established that 2D transvaginal sonography is less accurate than 2D saline infusion sonography and hysteroscopy in detecting intrauterine lesions, including classifying submucous fibroids. [9][10][11][12][13][14][15][16][17][18] In treatment of submucous fibroids, the protrusion, diameter, and size of the fibroid's intramural component measured with 3D saline infusion sonography are associated with the likelihood of successful fibroid resection. 19 Currently, the general workup of patients with submucous fibroids consists of 2D transvaginal sonography and 2D saline infusion sonography.…”

mentioning

confidence: 99%

Role of 3‐Dimensional Sonography in the Assessment of Submucous Fibroids: A Pilot Study

Keizer

Nieuwenhuis

Twisk

et al. 2017

J of Ultrasound Medicine

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Objectives-To investigate the accuracy and reliability of 3-dimensional (3D) transvaginal sonography in classifying submucous fibroids using the International Federation of Gynecology and Obstetrics PALM-COEIN (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not yet classified) classification and protrusion (percent) compared to 2-dimensional (2D) transvaginal sonography, 2D saline infusion sonography, and 3D saline infusion sonography, using hysteroscopy as a reference test.Methods-A prospective cohort pilot study was performed among 14 consecutive patients undergoing hysteroscopic surgery, preceded by routine sonography (2D transvaginal sonography, 2D saline infusion sonography, 3D transvaginal sonography, and 3D saline infusion sonography). Conclusions-In these preliminary data, 3D transvaginal sonography was not as accurate as 2D or 3D saline infusion sonography and was not more accurate than 2D transvaginal sonography. There was moderate interobserver agreement for 3D transvaginal sonography. There might be room for improvement, as 3D transvaginal sonography is more accurate when endometrial thickness increases. Further study is warranted to evaluate in which patients saline infusion sonography eventually can be obviated.

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Comparison of transvaginal ultrasonography and saline infusion sonography for the detection of intracavitary abnormalities in premenopausal women

Cited by 85 publications

References 14 publications

Submucous myomas: diagnosis and therapy

Submucous myomas: diagnosis and therapy

Treatment options for dysfunctional uterine bleeding: evaluation of clinical results

Role of 3‐Dimensional Sonography in the Assessment of Submucous Fibroids: A Pilot Study

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