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Pipelle biopsy and dilatation and curettage in clinical practice: are factors affecting their effectiveness the same?
Author(s) -
Piatek Szymon,
Warzecha Damian,
Kisielewski Filip,
Szymusik Iwona,
Panek Grzegorz,
Wielgos Miroslaw
Publication year - 2019
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13882
Subject(s) - medicine , curettage , biopsy , endometrial biopsy , sampling (signal processing) , body mass index , obstetrics and gynaecology , gynecology , obstetrics , surgery , radiology , pregnancy , genetics , filter (signal processing) , biology , computer science , computer vision
Abstract Aim Endometrial biopsy is one of the most commonly performed gynecological procedures. Apart from patient safety, the most important is to obtain an adequate specimen allowing histopathological diagnosis. The aim of the study was to determine the rate of endometrial sampling failure and factors affecting the quality of specimen obtained for histopathological examination among patients who underwent Pipelle biopsy and dilatation and curettage (D&C). Methods Patients who underwent endometrial biopsy (Pipelle, D&C) at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, between June 2013 and July 2017, were included in the study. The influence of menopausal status, body mass index, obstetric history, endometrial thickness, indications for the biopsy and doctors' experience were analyzed with regard to the effectiveness of the procedure. Results Overall, 895 endometrial sampling procedures were performed. Three hundred and thirty‐nine (37.9%) patients underwent Pipelle biopsy, while 556 (62.1%) had D&C. Insufficient samples were found in 60 (17.3%) and 88 (15.8%) patients, respectively. Age, menopausal status and indications were factors affecting both procedures, while the number of previous vaginal deliveries, body mass index and endometrial thickness influenced the effectiveness of Pipelle biopsy. Doctors' experience did not influence the specimen adequacy. Conclusion None of the methods guarantee obtaining adequate specimens. D&C might be preferred in postmenopausal women. The effectiveness of both procedures is independent of doctors' experience.