Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding
Objectives: The aim of this study is to determine the accuracy of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding and correlate with the histopathological findings. Methods: This study was conducted in patients with abnormal uterine bleeding refractory to medical man...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2020-01-01
|
| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/0687.pdf |
| _version_ | 1818523323235041280 |
|---|---|
| author | Saika Amreen Yawar Yaseen Naseer Ahmad Choh Cimona Saldanha Tariq Ahmad Gojwari Manjeet Singh |
| author_facet | Saika Amreen Yawar Yaseen Naseer Ahmad Choh Cimona Saldanha Tariq Ahmad Gojwari Manjeet Singh |
| author_sort | Saika Amreen |
| collection | DOAJ |
| description | Objectives: The aim of this study is to determine the accuracy of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding and correlate with the histopathological findings. Methods: This study was conducted in patients with abnormal uterine bleeding refractory to medical management in a prospective manner. All patients underwent transabdominal and transvaginal sonography before sonohysterography followed by appropriate interventions. SPSS 20 and STATA 11 were used for data analysis. Results: In this study 55.2% patients underwent a dilatation and curettage while as 44.8% underwent total abdominal hysterectomy. In 65.2% patients who underwent (Total abdominal hysterectomy) TAH had few or multiple intramural fibroids. Three patients had submucous fibroids none of which were detected on TAS (Trans abdominal sonography) or TVS (Trans vaginal sonography). Saline infusion sonohysterography (SIS) detected 2 of these correctly. SIS had a sensitivity of 66.67%, specificity of 95.65% and accuracy of 92.30% for adenomyosis. In 27.6% patients were found to have polyps on SIS with a sensitivity of 100%, specificity of 95.4%, PPV of 87.5%, NPV of 100% and accuracy of 96.67%. Conclusion: Saline contrast sonohysterography is a simple, safe, reliable, well-tolerated, sensitive and specific procedure for detecting focally growing lesions in the uterine cavity in women with abnormal uterine bleeding |
| first_indexed | 2024-12-11T05:43:35Z |
| format | Article |
| id | doaj.art-c7beda3b4e2f44228bd846119c0c7335 |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-12-11T05:43:35Z |
| publishDate | 2020-01-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-c7beda3b4e2f44228bd846119c0c73352022-12-22T01:19:04ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422020-01-0162879110.21276/obgyn.2020.6.2.5Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleedingSaika Amreen0Yawar Yaseen1Naseer Ahmad Choh2Cimona Saldanha3Tariq Ahmad Gojwari4Manjeet Singh5Department of Radiodiagnosis & Imaging SKIMS, SouraMedical Officer, DHSKDepartment of Radiodiagnosis & Imaging SKIMS, SouraDepartment of Radiodiagnosis & Imaging SKIMS, SouraDepartment of Radiodiagnosis & Imaging SKIMS, SouraDepartment of Radiodiagnosis & Imaging SKIMS, SouraObjectives: The aim of this study is to determine the accuracy of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding and correlate with the histopathological findings. Methods: This study was conducted in patients with abnormal uterine bleeding refractory to medical management in a prospective manner. All patients underwent transabdominal and transvaginal sonography before sonohysterography followed by appropriate interventions. SPSS 20 and STATA 11 were used for data analysis. Results: In this study 55.2% patients underwent a dilatation and curettage while as 44.8% underwent total abdominal hysterectomy. In 65.2% patients who underwent (Total abdominal hysterectomy) TAH had few or multiple intramural fibroids. Three patients had submucous fibroids none of which were detected on TAS (Trans abdominal sonography) or TVS (Trans vaginal sonography). Saline infusion sonohysterography (SIS) detected 2 of these correctly. SIS had a sensitivity of 66.67%, specificity of 95.65% and accuracy of 92.30% for adenomyosis. In 27.6% patients were found to have polyps on SIS with a sensitivity of 100%, specificity of 95.4%, PPV of 87.5%, NPV of 100% and accuracy of 96.67%. Conclusion: Saline contrast sonohysterography is a simple, safe, reliable, well-tolerated, sensitive and specific procedure for detecting focally growing lesions in the uterine cavity in women with abnormal uterine bleedinghttps://journal.barpetaogs.co.in/pdf/0687.pdfabnormal uterine bleedingtransabdominal sonographysonohysterography |
| spellingShingle | Saika Amreen Yawar Yaseen Naseer Ahmad Choh Cimona Saldanha Tariq Ahmad Gojwari Manjeet Singh Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding New Indian Journal of OBGYN abnormal uterine bleeding transabdominal sonography sonohysterography |
| title | Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding |
| title_full | Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding |
| title_fullStr | Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding |
| title_full_unstemmed | Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding |
| title_short | Role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding |
| title_sort | role of saline infusion sonohysterography in the evaluation of abnormal uterine bleeding |
| topic | abnormal uterine bleeding transabdominal sonography sonohysterography |
| url | https://journal.barpetaogs.co.in/pdf/0687.pdf |
| work_keys_str_mv | AT saikaamreen roleofsalineinfusionsonohysterographyintheevaluationofabnormaluterinebleeding AT yawaryaseen roleofsalineinfusionsonohysterographyintheevaluationofabnormaluterinebleeding AT naseerahmadchoh roleofsalineinfusionsonohysterographyintheevaluationofabnormaluterinebleeding AT cimonasaldanha roleofsalineinfusionsonohysterographyintheevaluationofabnormaluterinebleeding AT tariqahmadgojwari roleofsalineinfusionsonohysterographyintheevaluationofabnormaluterinebleeding AT manjeetsingh roleofsalineinfusionsonohysterographyintheevaluationofabnormaluterinebleeding |