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Usefulness of histopathological examination in uterine prolapse specimens
Author(s) -
MAHAJAN Garima,
KOTRU Mrinalini,
BATRA Madhu,
GUPTA Archana,
SHARMA Sonal
Publication year - 2011
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/j.1479-828x.2011.01337.x
Subject(s) - medicine , hysterectomy , histopathological examination , pathological , uterine prolapse , pelvic examination , endometritis , physical examination , gynecology , clinical significance , gynecological examination , obstetrics , radiology , pathology , pregnancy , genetics , biology
Background: Uterovaginal prolapse frequently occurs in postmenopausal women. Hysterectomy with pelvic floor repair is one of the frequently performed surgeries in treating women who have completed their family and are not particular about preserving menstrual function. These hysterectomy specimens are submitted for histopathological examination to confirm the diagnosis. Aims: This study was conducted with the aim to evaluate the frequency of incidental histopathological findings in uteri removed for prolapse and assessing their clinical relevance. Methods: A total 253 cases of hysterectomy with or without salpingoophorectomy were reviewed. Results: Incidental findings were found in 77 cases (30.4%). Clinically significant incidental findings including tubercular endometritis (one case) and cervical intra‐epithelial neoplasia (two cases) were found. Conclusion: Microscopic examination, although an integral part of pathological examination as some of these women may require subsequent treatment, reveals significant pathology in very few cases.