Open AccessSaline infusion sonohysterography – an effective tool for evaluation of the endometrial cavity in women with abnormal uterine bleeding
Author(s) -
MATHEW MARIAM,
GOWRI VAIDYANATHAN,
RIZVI SYED GAUHAR
Publication year - 2010
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016340903284919
Subject(s) - medicine , hysteroscopy , uterine cavity , endometrial polyp , uterine fibroids , hysterosalpingography , endometrium , gold standard (test) , radiology , transvaginal sonography , diagnostic accuracy , gynecology , obstetrics , uterus , pregnancy , infertility , biology , genetics
We evaluated the diagnostic accuracy of saline infusion sonohysterography (SISH) over transvaginal sonography (TVS) for the detection of intrauterine abnormalities using hysteroscopy as the gold standard in a retrospective study of 70 women mostly presenting with abnormal uterine bleeding. TVS was normal in 32 women, while in the others polyps or fibroids projecting into the cavity ( n = 19) or a thick endometrium ( n = 19) were suspected. On performing SISH the uterine cavity was found to be normal in 29 women, while 35 had suspected polyps/fibroids and 6 had other abnormalities. Hysteroscopy proved to be normal in 28 women, 35 had polyps/fibroids and 7 had other abnormalities. The sensitivity, specificity, positive and negative predictive values for TVS were 72.4%, 100%, 100% and 74%, respectively, while for SISH the corresponding figures were 91.4%, 92.6%, 89.3% and 94.1%. SISH is a simple, minimally invasive and cost‐effective investigative tool enhancing the diagnostic accuracy of TVS and can be an effective screening test prior to hysteroscopy.