Comparison of sonography, sonohysterography, and hysteroscopy for evaluation of abnormal uterine bleeding.

Saidi, Mo H.; Sadler, RK; Theis, V D; Akright, B D; Farhart, S A; Villanueva, Gloria R.

doi:10.7863/jum.1997.16.9.587

Cited by 73 publications

(47 citation statements)

References 2 publications

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“…In contrast, in 1997 Saidi MH et al, showed that transvaginal echography and sonohisterography have higher sensitivity (95% and 90%) than diagnostic hysteroscopy (78%) (11).…”

Section: Discussionmentioning

confidence: 95%

Four years of experience in our clinic regarding hysteroscopies for abnormal uterine hemorrhages

Bobei¹,

Sima²,

Stănescu³

et al. 2018

J Clin Invest Surg.

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Introduction. Abnormal uterine hemorrhages (AUH) are the most common symptom for presentation to gynecologist. Any uterine bleeding other than menstrual bleeding, which concerns the duration, frequency, quality or quantity of the bleeding is considered abnormal.Material and Methods. We realized a retrospective study based on medical records of the patients admitted for abnormal uterine hemorrhage at "Saint John" Emergency Clinical Hospital, "Bucur" Maternity between 2013 and 2016. From the patients with AUH, we focused on those who underwent hysteroscopies.Results. Our study included 146 patients. The age of patients varied from 22 to 71 years. Abnormal uterine bleeding was most prevalent among women of 40-50 years (20%), and the mean age was 42.65%. 82.88% from our patients had obstetrical history and only 17.12% didn't give birth either as an option, or from primary or secondary infertility. 7.53% of the patients were hypertensive and 5.48% had endocrine pathology. All patients underwent diagnostic hysteroscopy and 4.79% patients therapeutic hysteroscopy. The therapeutic measures that were made are: hysteroscopic resection of the endometrium (47.3%), excision of polyps (36.99%), sinechiolysis (8.22%) and myomectomy (2.71%). The diagnoses were 46.48% endometrial polyp, 13.7% intramural leiomyoma, 13.7% IUD (intrauterine device) and 9.59% intrauterine synechiae, while 15.06% cumulated for uterine septum, endometrial hyperplasia, cervical polyp, foreign intrauterine bodies, secondary infertility, dysfunctional metrorrhagia.Conclusion. In patients with abnormal uterine hemorrhages, hysteroscopy provides the most accurate diagnosis and can reduce the burden of hysterectomy in many cases.

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“…In contrast, in 1997 Saidi MH et al, showed that transvaginal echography and sonohisterography have higher sensitivity (95% and 90%) than diagnostic hysteroscopy (78%) (11).…”

Section: Discussionmentioning

confidence: 95%

Four years of experience in our clinic regarding hysteroscopies for abnormal uterine hemorrhages

Bobei¹,

Sima²,

Stănescu³

et al. 2018

J Clin Invest Surg.

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show abstract

“…24 Several studies have shown that SH offers better visualization of the uterine cavity than conventional TVS and is a useful method for evaluating possible endometrial pathologic conditions. [16][17][18][19][20] However, few have attempted to address the application of SH in preoperative evaluation of endometrial cancer because of its potential risk of malignant cell dissemination into the peritoneal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have shown that SH has diagnostic accuracy similar to that of hysteroscopy and is effective in assessment of dysfunctional uterine bleeding, infertility, and endometrial lesions such as polyps and submucous myomas. [16][17][18][19][20] However, SH is not widely used in preoperative evaluation for endometrial cancer because of few data to support its diagnostic accuracy and a concern about the potential risk of peritoneal spillage of malignant cells through the fallopian tubes. A prospective study showed that SH had diagnostic accuracy of 84.37% in evaluation of the depth of myometrial invasion, and the occurrence rate of malignant cells on cytologic analysis of peritoneal fluid was 6.25%.…”

mentioning

confidence: 99%

Value of Sonohysterography in Preoperative Assessment of Myometrial Invasion for Patients With Endometrial Cancer

Chang

Lee

Kim

et al. 2010

Journal of Ultrasound in Medicine

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Objective. The aims of this study were to compare the diagnostic performance of sonohysterography (SH) with that of magnetic resonance imaging (MRI) in estimation of myometrial invasion and to evaluate the influence of SH on peritoneal cytologic results for patients with endometrial cancer. Methods. Seventy-four patients with endometrial cancer were included. Sonohysterography and MRI were performed before surgery. All patients had complete staging procedures, including peritoneal cytologic analyses. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were determined for SH and MRI. Results. The concordance rates of myometrial invasion for SH and MRI were 82.4% and 81.1%, respectively. The sensitivity, specificity, PPV, and NPV for identification of deep myometrial invasion were 64.7%, 87.7%, 61.1%, and 89.3% on SH and 70.6%, 84.2%, 57.1%, and 90.6% on MRI. Two patients (2.7%) were found to have positive results for malignant cells on peritoneal cytologic analyses. Conclusions. Sonohysterography appears to be a useful preoperative method for predicting myometrial invasion, comparable to MRI.

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“…This approach is comparable to hysteroscopy for the detection of intrauterine lesions such as polyps and submucous leiomyomas 48,49 (Class 3). However, in the context of acute uterine bleeding, the results of contrast sonography are frequently difficult to interpret because the clot and debris existing in the endometrial cavity preclude its use in the acute setting.…”

Section: Contrast Sonographymentioning

confidence: 96%

Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline

Munro

2013

TPJ

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Acute uterine bleeding unrelated to pregnancy has been defined as bleeding "sufficient in volume as to, in the opinion of the treating clinician, require urgent or emergent intervention." The Southern California Permanente Medical Group updated its guidelines for the management of this condition on the basis of the best available evidence, as identified in a systematic review of the available literature. Given the paucity of studies evaluating this condition, the guidelines, by necessity, include recommendations largely based on opinion or other sources such as case series that are, in general, categorized as low-quality evidence. Medical interventions with single or combined gonadal steroidal agents administered parenterally or orally show promise, but more high-quality studies are needed to better define the appropriate drugs, dose, and administrative scheduling. There is also some evidence that intrauterine tamponade may be useful in at least selected cases. Special attention must be paid to both diagnosing and treating inherited disorders of hemostasis, such as von Willebrand disease, that may otherwise be underdiagnosed in both adolescent and adult women.

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Comparison of sonography, sonohysterography, and hysteroscopy for evaluation of abnormal uterine bleeding.

Cited by 73 publications

References 2 publications

Four years of experience in our clinic regarding hysteroscopies for abnormal uterine hemorrhages

Four years of experience in our clinic regarding hysteroscopies for abnormal uterine hemorrhages

Value of Sonohysterography in Preoperative Assessment of Myometrial Invasion for Patients With Endometrial Cancer

Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline

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