Role of diagnostic hysteroscopy in abnormal uterine bleeding

Singh, Sankalp; Taneja, Bal Krishan; Singh, Prem Prakash; Ahlawat, R

doi:10.5455/2320-1770.ijrcog20140918

Cited by 9 publications

(7 citation statements)

References 16 publications

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“…Panda et al 5 13 reported 95.4% specificity in diagnosis of polyps. In our study endometrial hyperplasia was seen in 34% cases when compared to Singh S, et al 14 did a study on 100 cases, which showed hyperplasia as the most common finding, which was seen in 26% patients, other findings included endometrial polyp 8%, myoma or myomatous polyp 7%, atrophic endometrium 4%, endometrial carcinoma, misplaced IUCD, and synechiae in 2% each and tubercular endometritis in 1%. Hysteroscopically directed biopsy would be an ideal procedure in abnormal uterine bleeding wherever facilities are available.…”

Section: Discussionsupporting

confidence: 47%

A Clinical Study of Diagnostic Hysteroscopy in Abnormal Uterine Bleeding and Its Histopathological Correlation

Bahadur¹,

Yalamanchili²,

Kodey³

et al. 2019

jebmh

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BACKGROUND Abnormal uterine bleeding (AUB) is a common problem mainly seen in peri-menopausal and post-menopausal women. AUB has a negative impact on quality of life and in turn affects the efficiency of women. Hysteroscopy in this new era is increasingly becoming the investigation of choice for the evaluation of AUB, owing to the direct visualization of the uterine cavity, and its ability to pinpoint the aetiology in most of the cases. METHODS This is a prospective study. 100 cases with abnormal uterine bleeding (AUB) underwent hysteroscopy and biopsy was taken from suspected area. They then underwent dilatation and curettage and tissue samples were sent for histopathological examination. The findings on hysteroscopy and histopathological examination were correlated. Data obtained was subjected to statistical analysis and results derived was analysed in terms of sensitivity, specificity, positive predictive value and negative predictive value. RESULTS 42 (42%) cases with AUB were seen in the age group of 40-49. Most common symptom was menorrhagia 70 (70%) seen in the age group 40-49 years. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of hysteroscopy was 97.18%, 96.55%, 98.57% and 93.33% and that of histopathology was 89.13%, 96.29%, 95.34% and 91.22% respectively. All 5 cases of carcinoma diagnosed on hysteroscopy were confirmed by histopathology. CONCLUSIONS Hysteroscopy should be considered as the gold standard for diagnosis of intrauterine pathologies and it should be included in the management of AUB.

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Section: Discussionsupporting

confidence: 47%

A Clinical Study of Diagnostic Hysteroscopy in Abnormal Uterine Bleeding and Its Histopathological Correlation

Bahadur¹,

Yalamanchili²,

Kodey³

et al. 2019

jebmh

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“…Endometrial cancer is a rare finding in AUB cases with only few studies reporting its prevalence in the range of 1.7-4.1%. 11,12 In present study, on histopathology, 56 (65.11%) cases were shown to have normal/proliferative/atrophic endometrium, 17 (19.76%) had hyperplasia, 3 (3.48%) had calcified endometrium, and 10 (11.62%) had polyp. Similarly, Patil et al 13 also showed the absence of abnormal pathologies in 67% of their patients.…”

Section: Discussionsupporting

confidence: 45%

Hysteroscopy: a boon in abnormal uterine bleeding

Kulkarni¹,

Shinde²,

Thosar³

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Aim of the study was to analyze retrospectively the efficacy of hysteroscopy in the diagnosis of abnormal uterine bleeding (AUB). Methods: Eighty-six women in the reproductive and perimenopausal age group (20-50 years) visiting the gynaecology OPD from March 2018 to February 2019 with the complaints of abnormal uterine bleeding were enrolled in the study. All the patients who underwent hysteroscopic examination were subjected to endometrial curettage; which was sent for histopathological examination (HPE). The hysteroscopic findings were then corelated and compared with HPE. Results: Mean age of the patients was 37.2 years. Around 60.46% patients presented within six months of complaints. Clinically, 54.65% were diagnosed as menorrhagia, 37.2% as polymenorrhoea and 8.13% as intermenstrual bleeding. On hysteroscopy, 44.1% showed abnormal pathology. The positive findings including polyps (8.13%), calcification (3.48%), submucous myoma (12.79%), necrotic mass and forgotten IUCD (2.32%) and adhesions in one case. On the other hand, the findings of histopathology; 56 patients (65.11%) had normal / proliferative / atrophic endometrium, 17 (19.76%) had hyperplasia, 10 (11.62%) had polyps and 3 (3.48%) had calcified endometrium. There was no significant difference between two modalities for normal / proliferative / atrophic endometrium. The HPE diagnosed slightly higher patients of hyperplasia as compared to hysteroscopy. Hysteroscopy diagnosed a higher number of patients with submucous myoma and necrotic mass. Conclusions: Hysteroscopy provided additional visual information for some pathologies which otherwise would remain undiagnosed by HPE.

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“…These findings are in accordance with the observations of a number of other studies that did not report a single case of endometrial carcinoma in their series. Endometrial cancer is a rare finding in AUB cases with only few studies reporting its prevalence in the range of 1.7-4.1% [11,12].…”

Section: Discussionmentioning

confidence: 99%