Accuracy of saline contrast sonohysterography in detection of endometrial polyps and submucosal leiomyomas in women of reproductive age with abnormal uterine bleeding: systematic review and meta‐analysis

Bittencourt, C. A.; Simões, Ricardo Santos; Bernardo, Wanderlei M.; Fuchs, Luiz Fernando Portugal; Júnior, José Maria Soares; Pastore, Adriana; Baracat, Edmund Chada

doi:10.1002/uog.17352

Cited by 61 publications

(38 citation statements)

References 28 publications

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“…Regardless of the clinical guideline, when AUB is persistent and either unexplained or inadequately treated, endometrial sampling is necessary—if possible—in association with hysteroscopic evaluation of the uterine cavity . Sonohysterography is likely a reasonable substitute for hysterography to diagnose for polyps and submucous leiomyomas . There exist a number of techniques for endometrial sampling, but it is important that an adequate sample be obtained before the patient can be considered at low risk for a malignant neoplasm …”

Section: Recommendations For Clinical Investigationmentioning

confidence: 99%

“…These generally include hysteroscopy and/or transvaginal ultrasonography with intrauterine contrast, either gel or saline, termed sonohysterography. Which of these techniques is used will depend on the resources available to the clinician . In most instances, sonohysterography will be more readily available, particularly when the only available resources for hysteroscopy reside in an operating room.…”

Section: Recommendations For Clinical Investigationmentioning

confidence: 99%

“…28 Sonohysterography is likely a reasonable substitute for hysterography to diagnose for polyps and submucous leiomyomas. [53][54][55] There exist a number of techniques for endometrial sampling, but it is important that an adequate sample be obtained before the patient can be considered at low risk for a malignant neoplasm. 56 It is apparent that a relationship exists between chlamydial infection of the endometrium and AUB.…”

Section: Evaluation Of the Endometriummentioning

confidence: 99%

“…MRI may be occasionally Which of these techniques is used will depend on the resources available to the clinician. [53][54][55] In most instances, sonohysterography will be more readily available, particularly when the only available resources for hysteroscopy reside in an operating room. However, if office hysteroscopy is available, there may be additional value, particularly when polyps are suspected, as hysteroscopically directed polypectomy will be feasible in the same setting.…”

Section: Evaluation Of the Structure Of The Endometrial Cavitymentioning

confidence: 99%

See 3 more Smart Citations

The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions

Munro

Critchley

Fraser

2018

Intl J Gynecology & Obste

673

515

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To a large extent, the process has been an iterative one involving the FIGO Menstrual Disorders Committee, as well as a number of invited contributions from epidemiologists, gynecologists, and other experts in the field from around the world between 2012 and 2017. Face-to-face meetings have been held in Rome, Vancouver, and Singapore, and have been augmented by a number of teleconferences and other communications designed to evaluate various aspects of the systems. Where substantial change was considered, anonymous voting, in some instances using a modified RAND Delphi technique, was utilized.

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Section: Recommendations For Clinical Investigationmentioning

confidence: 99%

Section: Recommendations For Clinical Investigationmentioning

confidence: 99%

Section: Evaluation Of the Endometriummentioning

confidence: 99%

Section: Evaluation Of the Structure Of The Endometrial Cavitymentioning

confidence: 99%

See 2 more Smart Citations

The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions

Munro

Critchley

Fraser

2018

Intl J Gynecology & Obste

673

515

View full text Add to dashboard Cite

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“…In addition, it is cheaper, safer, less invasive and more easily operable compared with diagnostic hysteroscopy. Furthermore, many studies have reported the usefulness of SHG for diagnosing EMP [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection

Kanda¹,

Hasegawa²,

Hoshi³

et al. 2018

J Preg Child Health

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Objective: This study aimed to investigate the frequency and characteristic of patients who was pathologically diagnosed with malignancy or premalignancy in women undergoing hysteroscopic endometrial polypectomy for endometrial polyps. Method:We retrospectively investigated 115 patients who were diagnosed as endometrial polyp by transvaginal ultrasonography or sonohysterography and underwent hysteroscopic surgery at our hospital in two years. All surgical specimens were examined histopathologically. Characteristics of the patients including age, size of the largest polyp, desire to bear children, presence of abnormal uterine bleeding and the result of preoperative endometrial cytology were analyzed.Results: Regarding the age, 49 (42.6%) of the EMP patients were in their 30s, which was most common and 65 patients (56.5%) desired to bear children. The polyp size was evaluated before surgery in105 patients and 65patients (56.5%) were medium size (1 cm or larger but below 2 cm). Abnormal uterine bleeding was observed in 46, accounting for 40.0% of all EMP patients. Seven of 115 patients were diagnosed premalignant (3 patients) or malignant (4 patients) on postoperative histopathological examination and 4 of them (premalignant: 3, malignant: 1) desired to bear children. One of the four patients who was diagnosed with malignancy, was a 35 year old nulligravida wishing to bear children with the chief complaint of abnormal uterine bleeding. Endometrial cytology was negative for malignancy, but the very small specimen was subsequently diagnosed as endometrioid adenocarcinoma on pathological examination. Conclusion:We suggest that when masses are found inside the uterine cavity by transvaginal sonography, it is important to carefully examine under sonohysterography and perform pathological examination and treatment using hysteroscopy. Masses should also be examined even if the endometrial cytology is negative for malignancy or the tumor is small, regardless of whether the woman exhibits abnormal uterine bleeding.

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Diagnosis and Management of Infertility

Carson

Kallen

2021

JAMA

590

251

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Infertility, defined as the failure to achieve pregnancy after 12 months of regular unprotected sexual intercourse, affects 8.8% of US women aged 15 to 49 years 1 and is often associated with significant physical and emotional stress. This review summarizes current evidence regarding the pathophysiology, diagnosis, and management of infertility for heterosexual couples. 2 MethodsWe searched the PubMed and Cochrane databases for Englishlanguage studies of the epidemiology, diagnosis, and management of infertility published from January 2015 to November 2020, including randomized clinical trials (RCTs), meta-analyses, systematic reviews, and observational studies. Based on these criteria, 71 articles were identified, including 5 clinical trials, 31 systematic reviews, 29 meta-analyses, and 6 practice guidelines. We manually searched references for additional relevant publications. RCTs, metaanalyses, and systematic reviews applicable to a general medical readership were prioritized for inclusion.

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Accuracy of saline contrast sonohysterography in detection of endometrial polyps and submucosal leiomyomas in women of reproductive age with abnormal uterine bleeding: systematic review and meta‐analysis

Abstract: Objective To analyze the diagnostic accuracy of two-(2D) and three-(3D) dimensional saline contrast sonohysterography (SCSH) in the detection

Cited by 61 publications

References 28 publications

The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions

The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions

Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection

Diagnosis and Management of Infertility

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