Does the addition of saline infusion sonohysterography to transvaginal ultrasonography prevent unnecessary hysteroscopy in premenopausal women with abnormal uterine bleeding?

Short, John; Sharp, Benjamin; Elliot, Nikki; McEwing, Rachael L.; McGeoch, Graham; Shand, Brett; Holland, Kieran

doi:10.1111/ajo.12490

Cited by 4 publications

(2 citation statements)

References 12 publications

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“… 25 However, its benefit is offset by the invasive nature of this scan, although one can argue that it is less invasive than hysteroscopy. 26 …”

Section: Specific Investigationsmentioning

confidence: 99%

Management of abnormal uterine bleeding – focus on ambulatory hysteroscopy

Kolhe¹

2018

IJWH

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The rapid evolution in ambulatory hysteroscopy (AH) has transformed the approach to diagnose and manage abnormal uterine bleeding (AUB). The medical management in primary care remains the mainstay for initial treatment of this common presentation; however, many women are referred to secondary care for further evaluation. To confirm the diagnosis of suspected intrauterine pathology, the traditional diagnostic tool of day case hysteroscopy and dilatation and curettage in a hospital setting under general anesthesia is now no longer required. The combination of ultrasound diagnostics and modern AH now allows thorough evaluation of uterine cavity in an outpatient setting. Advent of miniature hysteroscopic operative systems has revolutionized the ways in which clinicians can not only diagnose but also treat menstrual disorders such as heavy menstrual bleeding, intermenstrual bleeding and postmenopausal bleeding in most women predominantly in a one-stop clinic. This review discussed the approach to manage women presenting with AUB with a focus on the role of AH in the diagnosis and treatment of this common condition in an outpatient setting.

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“… 25 However, its benefit is offset by the invasive nature of this scan, although one can argue that it is less invasive than hysteroscopy. 26 …”

Section: Specific Investigationsmentioning

confidence: 99%

Management of abnormal uterine bleeding – focus on ambulatory hysteroscopy

Kolhe¹

2018

IJWH

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“…Abnormal uterine bleeding (AUB) is one of the most common disorders in women of childbearing age. Abnormal uterine bleeding can significantly affect women's personal and social life [1][2][3][4]. AUB is defined as the irregularity of the menstrual cycle and includes all changes in the duration, frequency of menstruation, and the amount of bleeding [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in evaluating the endometrial polyps in women with abnormal uterine bleeding: a systematic review and meta-analysis.

Kaveh

Sadegi

Salarzaei

et al. 2020

Videosurgery and Other Miniinvasive Techniques

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Introduction: In women with abnormal uterine bleeding (AUB), endometrial polyps are a frequent finding, and the risk of a focal (pre)malignancy in a polyp is up to 6%. Because of this reported risk, the detection of polyps in these women is important. Aim: To evaluate and compare the diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in detecting endometrial polyps in women with AUB. Material and methods: The searches were conducted by two independent researchers to find the relevant studies published from 1/1/2009 until the end of 30/06/2019. We searched for published literature in English language in MEDLINE, EMBASETM, The Cochrane Library, and Trip database. For literature published in other languages, we searched national databases (Magiran and SID), KoreaMed, and LILACS. The risk of bias of every article was evaluated by using QUADAS-2. Results: After selection and quality assessment, 11 studies were included. Based on the random effect model the total prevalence of endometrial polyps in women with abnormal uterine bleeding was 38%. The sensitivity and specificity of saline infusion sonohysterography in diagnosis of endometrial polyps were 0.87 and 0.86, respectively. The sensitivity and specificity of transvaginal ultrasonography were 0.62 and 0.73 and the sensitivity and specificity of hysteroscopy were 0.92 and 0.85, respectively. Conclusions: Although that sonohysterography is a safe and relatively cheap method, which allows ruling out or confirming endometrial polyps, it cannot be replaced with hysteroscopy due to the fact that hysteroscopy combined with biopsy is the gold standard for ruling out malignancies in an endometrial polyp.

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Clinical signs and diagnosis of fibroids from adolescence to menopause

Mension,

Carmona,

Vannuccini

et al. 2024

Fertility and Sterility

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Does the addition of saline infusion sonohysterography to transvaginal ultrasonography prevent unnecessary hysteroscopy in premenopausal women with abnormal uterine bleeding?

Cited by 4 publications

References 12 publications

Management of abnormal uterine bleeding – focus on ambulatory hysteroscopy

Management of abnormal uterine bleeding – focus on ambulatory hysteroscopy

Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in evaluating the endometrial polyps in women with abnormal uterine bleeding: a systematic review and meta-analysis.

Clinical signs and diagnosis of fibroids from adolescence to menopause

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Does the addition of saline infusion sonohysterography to transvaginal ultrasonography prevent unnecessary hysteroscopy in premenopausal women with abnormal uterine bleeding?

Cited by 4 publications

References 12 publications

Management of abnormal uterine bleeding &ndash; focus on ambulatory hysteroscopy

Management of abnormal uterine bleeding &ndash; focus on ambulatory hysteroscopy

Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in evaluating the endometrial polyps in women with abnormal uterine bleeding: a systematic review and meta-analysis.

Clinical signs and diagnosis of fibroids from adolescence to menopause

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Management of abnormal uterine bleeding – focus on ambulatory hysteroscopy

Management of abnormal uterine bleeding – focus on ambulatory hysteroscopy