Transvaginal sonohysterography and hysteroscopy in the evaluation of female infertility, habitual abortion or metrorrhagia, A comparative study

Grønlund, Lars; Hertz, J. B.; Helm, Peter; Colov, Nina Palmgren

doi:10.1034/j.1600-0412.1999.780513.x

Cited by 28 publications

(20 citation statements)

References 12 publications

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“…Sonography is a safe, available and inexpensive method with multiple capacities such as 3D, 4D, Doppler studies and saline infusion (sonohysterography) which can properly diagnose uterine pathologies before hysteroscopy. Previous studies have mostly shown that sonohysterography is less invasive than hysteroscopy and in some circumstances may obviate diagnostic hysteroscopy (16-18). It may provide a specific diagnosis and enable the surgeon to proceed to operative hysteroscopy.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Transvaginal Sonography in the Detection of Uterine Abnormalities in Infertile Women

Niknejadi¹,

Haghighi²,

Ahmadi³

et al. 2012

Iran J Radiol

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BackgroundAccurate diagnosis of uterine abnormalities has become a core part of the fertility work-up. A variety of modalities can be used for the diagnosis of uterine abnormalities.ObjectivesThis study was designed to assess the diagnostic accuracy of transvaginal ultrasonography (TVS) in uterine pathologies of infertile patients using hysteroscopy as the gold standard.Patients and MethodsThis was a cross-sectional study carried out in the Department of Reproductive Imaging at Royan Institute from October 2007 to October 2008. In this study, the medical documents of 719 infertile women who were investigated with transvaginal ultrasound (TVS) and then hysteroscopy were reviewed. All women underwent hysteroscopy in the same cycle time after TVS. Seventy-six out of 719 patients were excluded from the study and 643 patients were studied. TVS was performed in the follicular phase after cessation of bleeding. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for TVS. Hysteroscopy served as the gold standard.ResultsThe overall sensitivity, specificity, positive and negative predictive values for TVS in the diagnosis of uterine abnormality was 79%, 82%, 84% and 71%, respectively. The sensitivity and PPV of TVS in detection of polyp were 88.3% and 81.6%, respectively. These indices were 89.2% and 92.5%, respectively for fibroma, 67% and 98.3%, respectively for subseptated uterus and 90.9% and 100%, respectively for septated uterus. Adhesion and unicornuated uterus have the lowest sensitivity with a sensitivity of 35% and PPV of 57.1%.ConclusionTVS is a cost-effective and non-invasive method for diagnosis of intrauterine lesions such as polyps, submucosal fibroids and septum. It is a valuable adjunctive to hysteroscopy with high accuracy for identification and characterization of intrauterine abnormalities. This may lead to a more precise surgery plan and performance.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Transvaginal Sonography in the Detection of Uterine Abnormalities in Infertile Women

Niknejadi¹,

Haghighi²,

Ahmadi³

et al. 2012

Iran J Radiol

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“…If hysteroscopy is accepted as the standard, the efficiency of saline infusion hysterosonography in the diagnosis of pathology of the uterine cavity in various studies is summarised in Table 6 14–19 .…”

Section: Discussionmentioning

confidence: 99%

A comparison of outpatient hysteroscopy with saline infusion hysterosonography

Rogerson

Bates

Weston

et al. 2002

BJOG

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“…No studies reported on costs of the procedure. Transvaginal sonohysterography takes slightly longer than transvaginal ultrasound and usually lasts 5–10 min with a maximum of 15 min being reported in most studies (13,15,22,26,29,30). Only two studies formally reported the length of the procedures (16,20).…”

Section: Resource Utilizationmentioning

confidence: 99%

“…Only nine studies reported whether or not is was possible to complete the examination planned. In these 8 studies of TVSH a total of 33 examinations out of a possible 633 examinations (5%) were not completed for a variety of reasons including patient discomfort, poor views by ultrasound and hysteroscopy, failure of distillation of the endometrial cavity because of cervical stenosis and uterine perforation (15,16,19,20,22,24,30).…”

Section: Technical Failuresmentioning

confidence: 99%

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A systematic review of transvaginal ultrasonography, sonohysterography and hysteroscopy for the investigation of abnormal uterine bleeding in premenopausal women

Farquhar

Ekeroma

Furness³

et al. 2003

Acta Obstet Gynecol Scand

194

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Transvaginal sonohysterography and hysteroscopy in the evaluation of female infertility, habitual abortion or metrorrhagia, A comparative study

Abstract: Sonohysterography is a simple, fast, well tolerated and accurate method to evaluate the uterine cavity in patients with metrorrhagia or infertility.

Cited by 28 publications

References 12 publications

Diagnostic Accuracy of Transvaginal Sonography in the Detection of Uterine Abnormalities in Infertile Women

Diagnostic Accuracy of Transvaginal Sonography in the Detection of Uterine Abnormalities in Infertile Women

A comparison of outpatient hysteroscopy with saline infusion hysterosonography

A systematic review of transvaginal ultrasonography, sonohysterography and hysteroscopy for the investigation of abnormal uterine bleeding in premenopausal women

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