TY - JOUR
T1 - Saline infusion sonohysterography - An effective tool for evaluation of the endometrial cavity in women with abnormal uterine bleeding
AU - Mathew, Mariam
AU - Gowri, Vaidyanathan
AU - Rizvi, Syed Gauhar
PY - 2010/1/16
Y1 - 2010/1/16
N2 - We evaluated the diagnostic accuracy of saline infusion sonohysterography (SISH) over transvaginal sonography (TVS) for the detection of intrauterine abnormalities using hysteroscopy as the gold standard in a retrospective study of 70 women mostly presenting with abnormal uterine bleeding. TVS was normal in 32 women, while in the others polyps or fibroids projecting into the cavity (n = 19) or a thick endometrium (n = 19) were suspected. On performing SISH the uterine cavity was found to be normal in 29 women, while 35 had suspected polyps/fibroids and 6 had other abnormalities. Hysteroscopy proved to be normal in 28 women, 35 had polyps/fibroids and 7 had other abnormalities. The sensitivity, specificity, positive and negative predictive values for TVS were 72.4%, 100%, 100% and 74%, respectively, while for SISH the corresponding figures were 91.4%, 92.6%, 89.3% and 94.1%. SISH is a simple, minimally invasive and cost-effective investigative tool enhancing the diagnostic accuracy of TVS and can be an effective screening test prior to hysteroscopy.
AB - We evaluated the diagnostic accuracy of saline infusion sonohysterography (SISH) over transvaginal sonography (TVS) for the detection of intrauterine abnormalities using hysteroscopy as the gold standard in a retrospective study of 70 women mostly presenting with abnormal uterine bleeding. TVS was normal in 32 women, while in the others polyps or fibroids projecting into the cavity (n = 19) or a thick endometrium (n = 19) were suspected. On performing SISH the uterine cavity was found to be normal in 29 women, while 35 had suspected polyps/fibroids and 6 had other abnormalities. Hysteroscopy proved to be normal in 28 women, 35 had polyps/fibroids and 7 had other abnormalities. The sensitivity, specificity, positive and negative predictive values for TVS were 72.4%, 100%, 100% and 74%, respectively, while for SISH the corresponding figures were 91.4%, 92.6%, 89.3% and 94.1%. SISH is a simple, minimally invasive and cost-effective investigative tool enhancing the diagnostic accuracy of TVS and can be an effective screening test prior to hysteroscopy.
KW - Abnormal uterine bleeding
KW - Hysteroscopy
KW - Saline infusion sonohysterography
KW - Transvaginal sonography
UR - http://www.scopus.com/inward/record.url?scp=74049121859&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=74049121859&partnerID=8YFLogxK
U2 - 10.3109/00016340903284919
DO - 10.3109/00016340903284919
M3 - Article
C2 - 19832547
AN - SCOPUS:74049121859
SN - 0001-6349
VL - 89
SP - 140
EP - 142
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
IS - 1
ER -