Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section
Background: The evolution of sonohysterography (SHG) over the past years has contributed significantly to the assessment of uterine cavity. Objectives: To compare SHG versus the “gold standard” diagnostic hysteroscopy (DH) for the assessment of the uterine cavity in women with previous cesarean sect...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2011-03-01
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| Series: | Middle East Fertility Society Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110569010001445 |
| _version_ | 1818953564571041792 |
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| author | Akmal El-Mazny Nermeen Abou-Salem Waleed El-Khayat Adel Farouk |
| author_facet | Akmal El-Mazny Nermeen Abou-Salem Waleed El-Khayat Adel Farouk |
| author_sort | Akmal El-Mazny |
| collection | DOAJ |
| description | Background: The evolution of sonohysterography (SHG) over the past years has contributed significantly to the assessment of uterine cavity.
Objectives: To compare SHG versus the “gold standard” diagnostic hysteroscopy (DH) for the assessment of the uterine cavity in women with previous cesarean section (CS).
Design: Comparative observational cross-sectional study.
Setting: Department of Obstetrics and Gynecology, Kasr El-Aini Teaching Hospital, Faculty of Medicine, Cairo University.
Subjects: Seventy-five women with previous CS(s), complaining of infertility, menstrual disorders or recurrent pregnancy loss. The inclusion criteria were: age between 20 and 35years; previous 1–3 CS(s); and the duration from the last CS ranging from 1 to 5years.
Methods: Transvaginal SHG with saline infusion as contrast medium for assessment of the thickness of the scar, filling defect in the scar (niche) and intrauterine adhesions. DH was performed to confirm different findings.
Main outcome measures: The findings at SHG were compared to DH; and the accuracy of SHG was calculated.
Results: The scar thickness at SHG was significantly lower in cases with scar defect at DH (P=0.016). SHG was comparable to DH as shown by sensitivity, specificity, +ve predictive value, −ve predictive value and overall accuracy of 87%, 100%, 100%, 95% and 96%, respectively, in the diagnosis of scar defect; and 76%, 100%, 100%, 87% and 91%, respectively, in the diagnosis of intrauterine adhesions.
Conclusion: SHG is reliable and feasible, and may be recommended as an alternative to DH for the assessment of the uterine cavity and uterine scar in women with previous CS. |
| first_indexed | 2024-12-20T10:08:17Z |
| format | Article |
| id | doaj.art-7a0875670b8c42c0bfcf63008639e442 |
| institution | Directory Open Access Journal |
| issn | 1110-5690 |
| language | English |
| last_indexed | 2024-12-20T10:08:17Z |
| publishDate | 2011-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Middle East Fertility Society Journal |
| spelling | doaj.art-7a0875670b8c42c0bfcf63008639e4422022-12-21T19:44:12ZengSpringerOpenMiddle East Fertility Society Journal1110-56902011-03-01161727610.1016/j.mefs.2010.07.015Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean sectionAkmal El-MaznyNermeen Abou-SalemWaleed El-KhayatAdel FaroukBackground: The evolution of sonohysterography (SHG) over the past years has contributed significantly to the assessment of uterine cavity. Objectives: To compare SHG versus the “gold standard” diagnostic hysteroscopy (DH) for the assessment of the uterine cavity in women with previous cesarean section (CS). Design: Comparative observational cross-sectional study. Setting: Department of Obstetrics and Gynecology, Kasr El-Aini Teaching Hospital, Faculty of Medicine, Cairo University. Subjects: Seventy-five women with previous CS(s), complaining of infertility, menstrual disorders or recurrent pregnancy loss. The inclusion criteria were: age between 20 and 35years; previous 1–3 CS(s); and the duration from the last CS ranging from 1 to 5years. Methods: Transvaginal SHG with saline infusion as contrast medium for assessment of the thickness of the scar, filling defect in the scar (niche) and intrauterine adhesions. DH was performed to confirm different findings. Main outcome measures: The findings at SHG were compared to DH; and the accuracy of SHG was calculated. Results: The scar thickness at SHG was significantly lower in cases with scar defect at DH (P=0.016). SHG was comparable to DH as shown by sensitivity, specificity, +ve predictive value, −ve predictive value and overall accuracy of 87%, 100%, 100%, 95% and 96%, respectively, in the diagnosis of scar defect; and 76%, 100%, 100%, 87% and 91%, respectively, in the diagnosis of intrauterine adhesions. Conclusion: SHG is reliable and feasible, and may be recommended as an alternative to DH for the assessment of the uterine cavity and uterine scar in women with previous CS.http://www.sciencedirect.com/science/article/pii/S1110569010001445SonohysterographyHysteroscopyUterine cavityCesarean section |
| spellingShingle | Akmal El-Mazny Nermeen Abou-Salem Waleed El-Khayat Adel Farouk Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section Middle East Fertility Society Journal Sonohysterography Hysteroscopy Uterine cavity Cesarean section |
| title | Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section |
| title_full | Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section |
| title_fullStr | Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section |
| title_full_unstemmed | Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section |
| title_short | Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section |
| title_sort | diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section |
| topic | Sonohysterography Hysteroscopy Uterine cavity Cesarean section |
| url | http://www.sciencedirect.com/science/article/pii/S1110569010001445 |
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