| Acceptability and accuracy of saline infusion sonohysterography in women with postmenopausal bleeding. | |
| | |
MedLine Citation:
|
PMID: 20810046 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To validate the diagnostic efficacy of saline infusion sonohysterography (SIS) in the evaluation of uterine cavity,in women with postmenopausal bleeding and endometrial thickness (3) 5 mm. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Military Hospital, Rawalpindi, from March 2005 to July 2008 and Combined Military Hospital, Multan, from September 2008 to June 2009. METHODOLOGY: Seventy seven eligible participants included women complaining of postmenopausal bleeding were included; out of whom 69 completed the procedure satisfactorily. Pain scores during procedure were assessed to determine patient acceptability. Following saline infusion sonohysterography all patients also underwent an out door pipelle endometrial biopsy in a one-stop postmenopausal bleed clinic. Findings of sonohysterography were compared with hysteroscopy/hysterectomy specimen. RESULTS: Majority of the patients 34 (49.2%) experienced no pain during the procedure, 51 (74%) women had a positive SIS and the findings were negative in 18 (26%) patients. The commonest abnormal finding on SIS was focal thickening in 23 (32%) and endometrial polyp in 12 (17%) cases. Saline infusion hysterosonography picked up 3 cases of false positive polyps (5.8%) and missed a case of submucous fibroid near cervix (1.8%). Upon comparison of findings of hysteroscopy and hysterectomy in 53 cases, there was complete agreement in a total of 43 (88%) cases. The sensitivity of sonohysterography was 92% and specificity was 78%. All the ladies with abnormal SIS had diagnostic or therapeutic procedures and finally only 24 (35%) were managed on conservative follow-up. Normal SIS led to conservative management in 16 (88%). CONCLUSION: Sonohysterography in combination with endometrial biopsy is a useful technique useful for the evaluation of postmenopausal bleeding. Patient acceptability and diagnostic capability is high and it reduces demand for hysteroscopy. |
| | |
Authors:
|
Abeera Choudry; Irfan Shukr; Sumaira Khan; Humaira Hafeez; Shahid Jamal; Ambreen Anwer |
Related Documents
:
|
17766626 - Acog committee opinion no. 378: vaginal "rejuvenation" and cosmetic vaginal procedures. 8610766 - A randomized trial of open versus closed vaginal vault in the prevention of postoperati... 17848316 - Rising use of synthetic mesh in transvaginal pelvic reconstructive surgery: a review of... 6111496 - Vaginal morphology following hysterectomy. 7486096 - Transient neurologic symptoms after spinal anesthesia. 21371916 - Sexual function after modified laparoscopic vecchietti's vaginoplasty. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP Volume: 20 ISSN: 1022-386X ISO Abbreviation: J Coll Physicians Surg Pak Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-09-02 Completed Date: 2010-11-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9606447 Medline TA: J Coll Physicians Surg Pak Country: Pakistan |
Other Details:
|
Languages: eng Pagination: 571-5 Citation Subset: IM |
Affiliation:
|
Department of Gynaecology, Combined Military Hospital, Multan. abeera_choudry@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Endometrium / ultrasonography Endosonography* Female Humans Middle Aged Postmenopause* Sodium Chloride / administration & dosage* Uterine Hemorrhage / ultrasonography* |
| Chemical | |
Reg. No./Substance:
|
7647-14-5/Sodium Chloride |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Variability of arch forms in various vertical facial patterns.
Next Document: Clinicopathological features of transient myeloproliferative syndrome and congenital leukaemia.