Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding

Dimitriu, Gabriel; Abdelazim, Ibrahim A.; Svetlana, Shikanova; Zhurabekova, Gulmira; Alrbeihat, Rami S.; Taso, Omar A.

doi:10.5114/jogi.2018.77765

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…[ 7 ] In addition, the presented case highlights the role of the hysteroscopy as the gold standard procedure for uterine cavity assessment in women presented with AUB and/or infertility. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

Retained intrauterine sutures for 6 years

Sarsembayev

Shikanova

Karimova

et al. 2020

Gynecol Minim Invasive Ther

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The most common sutures used for uterine suturing during cesarean section (CS) are vicryl and/or chromic catgut. The sutures' chemistry and polymer morphology alter sutures' performance and absorption. If the sutures used during CS undergo inappropriate hydrolysis and absorption, the retained intrauterine sutures may cause intrauterine inflammations with subsequent abnormal uterine bleeding (AUB) and/or infertility. This report represents a rare case report of retained intrauterine sutures for 6 years after previous CS, which were incised and released from its attachment to the uterine wall using operative hysteroscopy. This report highlights that the retained intrauterine sutures may interfere with sperm transport and implantation and act as a foreign body with subsequent intrauterine inflammation and infertility. In addition, the report highlights the role of a hysteroscopy as the gold standard for uterine cavity assessment in women presented with AUB and/or infertility.

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Section: Discussionmentioning

confidence: 99%

Retained intrauterine sutures for 6 years

Sarsembayev

Shikanova

Karimova

et al. 2020

Gynecol Minim Invasive Ther

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“…A fundamental later stage in the research on infertile women, after the standard infertility evaluation is complete, is the evaluation of the uterine cavity [2] . It is thought that crucial elements in determining receptivity for embryo implantation include the state of the uterine cavity and the endometrium [3] .…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Hysteroscopy versus Three Dimensional [3D] Transvaginal Ultrasonography in Unexplained Infertility

Faleh¹,

Elfattah

ElSadek

2023

International Journal of Medical Arts

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Article informationBackground: Infertility is becoming a bigger problem in society. Since hysteroscopy, the gold standard diagnostic method, is an intrusive procedure, a study that could get around its drawbacks was necessary. Hysteroscopy might be replaced by 3D transvaginal sonography [3D TVS], which simultaneously registers all three image planes and non-invasively visualizes uterine morphology. Aim of the work:Comparison between the diagnostic accuracy of 3D transvaginal ultrasound and diagnostic hysteroscopy in the evaluation of women with unexplained infertility. Patients and Methods:This comparative interventional study was conducted in the infertility clinic of Al-Azhar Cairo University Hospitals [Sayed Galal and El Hussein Hospitals] between February 2021 and February 2022. A total of one hundred women with unexplained infertility were enrolled and subjected to both 3D transvaginal sonography and diagnostic hysteroscopy.Results: Abnormalities that were detected by vaginal ultrasonography were intrauterine adhesions, which were detected in 20 [20%] cases; fibroid was found in 28 [28% cases]; intrauterine polyps were found in 25 [25% cases]; and septum was detected in 3 [3%] cases. By hysteroscopy, which is the gold standard in investigating the uterine cavity, abnormal findings were found in 90 cases, representing 90% of cases, whereas 10 [10%] cases were free. Conclusion:Three-dimensional transvaginal sonography is increasingly being used as a standard procedure to examine infertile women since it is excellent at detecting uterine cavity defects. Transvaginal sonography findings should be confirmed by hysteroscopy, the gold standard in uterine cavity investigation, as well as when transvaginal sonography produces conflicting results.

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“…2 Assessment of abnormal uterine bleeding is recommended in women with AUB older than 45 years and in young women with history of unopposed estrogen exposure and persistent AUB to exclude endometrial pathology like malignancy. 3 There are different techniques for endometrial assessment in patients with abnormal uterine bleeding which includes ultrasonography, dilatation and curettage, outpatient endometrial biopsy by hysteroscopy or pipelle. It help to exclude endometrial pathology like hyperplasia and malignancy.…”

Section: Introductionmentioning

confidence: 99%

Comparison of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding.

Ashraf

Zafar

Naz

et al. 2021

TPMJ

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Objective: To compare the adequacy of endometrial sampling with pipelle versus conventional dilatation and curettage in patients with abnormal uterine bleeding. Study Design: Randomized Control Trial. Settings: Department of Obstetrics and Gynecology Madina Teaching Hospital affiliated with University Medical and Dental College Faisalabad. Period: July 2019 to June 2020. Material & Methods: A total of 90 patients with abnormal uterine bleeding were included in the study. Patients in Group A underwent endometrial sampling in OPD without anesthesia using pipelle. Patients in Group B were admitted, dilatation and curettage was done in operation theatre under anesthesia, endometrial tissue sent for histopathology. Patients were called in OPD on follow up visit with histopathology report. Results: Comparison of adequacy of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding shows that 84.44% (n=38) in Group A and 91.11% (n=41) in Group B have adequate sample. P value was 0.33, showing insignificant difference. Conclusion: Pipelle has acceptable adequacy for endometrial sampling as compare to dilatation and curettage. It is an outpatient procedure, no need of anesthesia and cervical dilatation. Pipelle can be safely used as an alternative to conventional dilatation and curettage.

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Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding

Cited by 4 publications

References 13 publications

Retained intrauterine sutures for 6 years

Retained intrauterine sutures for 6 years

Diagnostic Hysteroscopy versus Three Dimensional [3D] Transvaginal Ultrasonography in Unexplained Infertility

Comparison of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding.

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