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Does the addition of saline infusion sonohysterography to transvaginal ultrasonography prevent unnecessary hysteroscopy in premenopausal women with abnormal uterine bleeding?
Author(s) -
Short John,
Sharp Benjamin,
Elliot Nikki,
McEwing Rachael,
McGeoch Graham,
Shand Brett,
Holland Kieran
Publication year - 2016
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12490
Subject(s) - hysteroscopy , medicine , uterine bleeding , ultrasound , gynecology , ultrasonography , saline , obstetrics , endometrium , transvaginal sonography , radiology , pregnancy , anesthesia , genetics , biology
This observational case series in 65 premenopausal women with abnormal uterine bleeding evaluated whether transvaginal ultrasound followed by saline infusion sonohysterography ( SIS ) prevented unnecessary hysteroscopy. Although SIS indicated that hysteroscopy was unnecessary in eight women, this benefit was offset by the invasive nature of the scan, the number of endometrial abnormalities falsely detected by SIS and the cost of the additional investigation.