To Evaluate the Accuracy of Saline Infusion Sonohysterography (SIS) for Evaluation of Uterine Cavity Abnormalities in Patients with Abnormal Uterine Bleeding

Chawla, Indu; Tripathi, S.K.; Vohra, Poonam; Singh, Pushpa

doi:10.1007/s13224-013-0501-4

Cited by 19 publications

(14 citation statements)

References 14 publications

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“…Considering this all it can be used as an alternative procedure in place of hysteroscopy, histopathology remaining the gold standard investigation in postmenopausal bleeding women. Present study completely agrees with study by Bingol et al, Chawla et al, Epstein et al and Karsidag et al [9][10][11][12] Karlsson et al, found SIS superior than TVS and hysteroscopy both for diagnosing endometrial abnormalities. 3…”

Section: Resultssupporting

confidence: 92%

Evaluation of endometrial pathology in women with postmenopausal bleeding by saline infusion sonography and hysteroscopy

Bharti

Dewan

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Postmenopausal bleeding (PMB) is a common problem representing 5% of all gynaecological outpatient attendance. Objective of this study was to determine diagnostic performance of saline infusion sonography and hysteroscopy for evaluation of endometrial lesions in postmenopausal bleeding.Methods: Being a prospective cross-sectional study, the present study was conducted on 46 postmenopausal women with bleeding, admitted to department of obstetrics and gynecology VMMC and Safdarjang Hospital, New Delhi, India. After TVS, all patients with ET >4 mm underwent SIS and then scheduled for hysteroscopy when there was no active bleeding. Sensitivity, specificity, positive predictive value and negative predictive value were calculated to compare the diagnostic accuracy of SIS and hysteroscopy.Results: Most commonly found endometrial lesions were polyp (39.13%) and endometrial hyperplasia (28.26%) among our study population consisting of 46 postmenopausal women (mean age 56.72±6.6 years). Overall sensitivity rates were 86.84% for SIS and 97.37% for hysteroscopy, while the overall specificity rates were 50% for both SIS and hysteroscopy. Hysteroscopy had PPV and NPV of 90.24% and 80% respectively whereas PPV and NPV were 89.19% and 44.44% for SIS.Conclusions: As an easy to perform, safe and well tolerated procedure yielding high diagnostic accuracy, SIS seems to be comparable to hysteroscopy for endometrial evaluation.

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Section: Resultssupporting

confidence: 92%

Evaluation of endometrial pathology in women with postmenopausal bleeding by saline infusion sonography and hysteroscopy

Bharti

Dewan

2020

Int J Reprod Contracept Obstet Gynecol

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“…This technique allows the evaluation of abnormal myometrial growth, abnormalities of the endometrium and disorders affecting deeper tissue layers . The diagnostic accuracy of sonohysterography was found to be between 80% and 90% for endometrial polyps; thus, it was concluded that sonohysterography might increase the value of ultrasonography 14 , 15 . Although this procedure is very accurate in detecting focal intrauterine pathologies, the evaluation of abnormal endometrium revealed the sensitivity of sonohysterography as 33.3% …”

Section: Discussionmentioning

confidence: 99%

Correlation between transvaginal ultrasound measured endometrial thickness and histopathological findings in Turkish women with abnormal uterine bleeding

Özer

Özer²,

Kanat-Pektaş

2016

J of Obstet and Gynaecol

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“…If all of the above tests return normal results, patients end up in RIF, which frustrates both the patient and the IVF consultants as some pathologies are missed in routine radiological assessments. 5 , 6 In the recent past, hysteroscopy was added to the armamentarium in the investigation of RIF as many physicians began focusing on the uterine cavity and correcting any intrauterine pathologies that may have been missed. It is reported that the accuracy of a hysteroscopy is superior to the other modalities in use for diagnosis of intrauterine pathologies.…”

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confidence: 99%

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization

Al-Turki

2018

SMJ

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Objectives:To evaluate the use of hysteroscopy in the assessment of uterine pathologies in infertile women with repeated implantation failure (RIF) after in vitro fertilization (IVF) and determine whether removal of such pathologies increased pregnancy rates in women with RIF.Methods:This prospective study was conducted at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia, between January 2010 and December 2015. The inclusion criteria were women who underwent IVF treatment cycles and ended in more than 2 RIF, and women who underwent hysterosalpingography (HSG). Hysteroscopies were performed, findings were recorded, and the clinical pregnancy rates were compared and assessed in patients with and without uterine cavity abnormality. All hysteroscopic procedures were performed by a single consultant.Results:Hysteroscopies were performed on 266 women who had at least 2 RIF. The average duration of infertility was 7.2±3.1 years. In 162 patients (60.9%), a hysteroscopy did not find any abnormality of the uterine cavity. In 104 patients (39.1%) there were one or more abnormal hysteroscopic findings. Hysterosalpingography was able to detect only 54 abnormalities (51.9%). The pregnancy rate was significantly higher in patients who were treated by a hysteroscopy for a detected uterine abnormality (39.4%).Conclusion:A hysteroscopy was able to detect intrauterine pathologies which were missed by other investigative modalities. We believe patients with a history of RIF should undergo hysteroscopic examination before any further cycles are considered.

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To Evaluate the Accuracy of Saline Infusion Sonohysterography (SIS) for Evaluation of Uterine Cavity Abnormalities in Patients with Abnormal Uterine Bleeding

Abstract: SIS was found to be more sensitive and specific than TVS in detection of intra cavity abnormalities.

Cited by 19 publications

References 14 publications

Evaluation of endometrial pathology in women with postmenopausal bleeding by saline infusion sonography and hysteroscopy

Evaluation of endometrial pathology in women with postmenopausal bleeding by saline infusion sonography and hysteroscopy

Correlation between transvaginal ultrasound measured endometrial thickness and histopathological findings in Turkish women with abnormal uterine bleeding

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization

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