Role of transvaginal sonography in various gynecological disorders (original) (raw)
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Diagnosis of endometrial pathologies: transvaginal sonography versus hysteroscopy
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Abnormal uterine bleeding (AUB) constitutes 69% of all gynecological complaints in the peri- and postmenopausal age groups. The aim of present study was to compare the accuracy of transvaginal sonography and hysteroscopy in diagnosing intracavitary pathologies in women with abnormal uterine bleeding.Methods: A total of 303 premenopausal women with abnormal uterine bleeding who admitted to the gynecology outpatient clinic of the Istanbul Kanuni Sultan Suleyman Research and Training Hospital, Istanbul, Turkey, between April 2010 and July 2015, and received hysteroscopy, were evaluated retrospectively. The collected data were assembled from the computerised database. All patients underwent pelvic examination, transvaginal ultrasonography, office hysteroscopy and hystopathologic evaluation. Patients with normal appearing uterine cavities on hysteroscopy additionally underwent full curettage. The pathology reports were considered to be the definitive diagnoses of patients. Tr...
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2005
The purpose of this study was to evaluate the efficacy of a new contrast-dedicated ultrasound technology, contrast-tuned imaging (CnTI), implemented on an endovaginal probe and using the second-generation contrast agent SonoVue (Bracco International BV, Amsterdam, the Netherlands), compared with the standard ultrasound examination in different gynecologic diseases. Eighty-nine patients were enrolled in the study in 4 different clinical centers. The study included 40 patients with uncertain pelvic adnexal masses, 10 patients with pelvic masses indicative of recurrences of gynecologic tumors, 26 patients with uterine pathologic features, and 13 patients with cervical lesions. Application of CnTI technology after the SonoVue injection gave a picture of the intralesional microvascularization dramatically different from that obtained during color Doppler examination. Of the 40 pelvic masses, 15 (37.5%) were considered benign and 25 (62.5%) were considered malignant at B-mode and color Do...
International journal of innovative research in medical science, 2022
Background: Around 33% of females that presents to gynecological OPD have abnormal uterine bleeding (AUB). Out of various causes of AUB, the most common causes that were encountered includes endometrial polyps & hyperplasia, leiomyomas and annovulation. By diagnosing the etiology of abnormal uterine bleeding accurately, the prevalence of hysterectomies can be reduced. So, in this study the effectiveness of transvaginal sonography versus hysteroscopy was compared in the diagnosis of AUB. Methods: A total number of 64 patients in perimenopausal age group with AUB were enrolled in the study. All the patients were subjected to TVS & Hysteroscopy for the assessment of uterine cavity which was followed by endometrial sampling and then the sensitivity & specificity of both the modalities were statistically analysed. Results: In our study, mostly patients were presented with heavy menstrual bleeding(n=26) followed by frequent bleeding, intermenstrual bleeding & irregular menstrual bleeding. On TVS, 12 patients had normal uterine cavity, adenomyosis,fibroids, polyp, cystic ovaries were seen in 19,18,10, & 5, in women with AUB .On Hysteroscopy, uterine cavity was found normal in 15 females followed by endometrial polyp, fibroids & cerebroid appearance was seen in, 12, 12, 4 patients respectively and on histopathology, endometrial hyperplasia (n=20)was most commonly seen followed by polyp, proliferative & secretory endometrium. Both TVS & Hysteroscopy findings were statiscally significant. Conclusion: Both Hysteroscopy & transvaginal sonography has the ability to determine the abnormalities of endometrium with different accuracy. Hence the patients who were presented with AUB should undergone TVS as primary measure, followed by hysteroscopy in the same sitting for diagnostic & therapeutic procedure whenever required
Transvaginal sonography versus hysteroscopy in evaluation of abnormal uterine bleeding
Medical Journal Armed Forces India, 2015
Background: Abnormal uterine bleeding (AUB) accounts for 33% of female patients referred to gynaecologists. Common causes of AUB include endometrial polyps, endometrial hyperplasia, submucous fibroids and anovulation. Accurate diagnosis of the cause of AUB can reduce the frequency of hysterectomy. This study was aimed at assessing the usefulness of TVS in comparison with hysteroscopy in AUB evaluation. Methods: 100 female patients with AUB were enrolled in the study. Each patient was subjected to TVS where uterine cavity was studied in detail and hysteroscopy under anaesthesia using saline as distension medium. Sensitivity, specificity and predictive value of TVS as compared to hysteroscopy were calculated. Subgroup analysis within each group was also performed. Results: Menorrhagia was the commonest presenting symptom in the study population (n ¼ 58) followed by metrorrhagia, menometrorrhagia and continuous bleeding >21 days. 74 female patients had normal size uterus. In 57 patients, the uterine cavity was normal on TVS. Thickened endometrium, endometrial polyp and submucous fibroids were seen in 19, 16 and 6 patients respectively. Hysteroscopy showed normal cavity in 59 female patients and polypoidal endometrium, polyps or submucous fibroids in 41. TVS was found to have high sensitivity and specificity (95.23 and 94.82 respectively) and high positive and negative predictive value. Strength of agreement between TVS and hysteroscopy was high (kappa value 0.898). Conclusion: TVS is recommended as first line investigation in AUB. If TVS shows normal cavity, further evaluation can be omitted and patient started directly on medical treatment for her symptoms.
Journal of Obstetrics and Gynaecology Research, 2020
Background: Transvaginal sonography (TVS) and office hysteroscopy are considered essential diagnostic tool for the gynecologic everyday practice. Through the years equipment developments in both techniques along with cumulative experience gained by the gynecologists result in a disunity among clinicians in choosing optimal diagnostic approach with regards to endometrial pathology. Aim: To evaluate the diagnostic accuracy of TVS versus office hysteroscopy (OHSC) in detecting endometrial pathology. Results were compared to available scientific evidence available among similar published studies. Methods: Comparative Retrospective study performed at the Endoscopic Unit,
Comparison of transvaginal ultrasonography and hysteroscopy in the diagnosis of uterine pathologies
International journal of clinical and experimental medicine, 2014
A thorough evaluation of the uterine cavity is frequently required in gynecology practice. The aim of this study was to compare the diagnostic values of transvaginal ultrasound examination and hysteroscopy in detecting uterine abnormalities in a group of patients within a range of menopausal status and symptomatology. This study included 285 patients admitted with complaints of abnormal uterine bleeding, postmenopausal bleeding, lower abdominal pain, abnormal vaginal discharge or for a routine gynecological examination. All patients had available transvaginal ultrasonography and hysteroscopy data for evaluation. A biopsy was obtained from all patients during the hysteroscopy session. Sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio were calculated for both methods and compared, considering the histopathological diagnosis as the gold standard. The mean age of the patients was 49.5±12.9 years (range, 24-89 y). Majority of the patients...
IP Innovative Publication Pvt. Ltd, 2017
Abnormal uterine bleeding (AUB) is one of the most common disorder for which a woman needs immediate attention. Transvaginal ultra sonography (TVS) being simple and non invasive modality and Hysteroscopy is a new endoscopic approach that can visualise the entire uterine cavity to detect the pathology. This study was designed to compare the accuracy of hysteroscopy and transvaginal ultrasonography in the diagnosis of intracavitary disorders in patients with abnormal uterine bleeding.
Zanco Journal of Medical Sciences, 2016
Background and objective: Abnormal uterine bleeding due to endometrial abnormalities is a common diagnostic challenge facing the radiologist and referring gynecologist. This study was aimed to compare the diagnostic performance of transvaginal ultrasound, transabdominal ultrasound and diagnostic curettage in the detection of endometrial pathologies in symptomatic women. Methods: A prospective comparison study of transvaginal ultrasound, transabdominal ultrasound and diagnostic curettage was conducted for evaluation of endometrial pathology in Maternity Teaching Hospital, Erbil city,Kurdistan region of Iraq, from September13 th , 2013 to September14 th , 2014. The study included 100 women presenting with abnormal uterine bleeding.Ultrasound findings were compared with histopathological results. The statistical package for the social sciences (version 17) was used for data entry and analysis. Results: The mean age (± SD) of sample size was 47 ±8.57 years. The mean parity was 5.17 ± 2.71. The highest percentages of women were in age group 40-59 years (73%). Of the total sample, more than half (52%) had regular cycles, 25% had irregular cycles and 23% were in menopausal state. In more than half of cases the indication for ultrasounds was for menorrhagia, followed by postmenapousal and intermenstrual bleeding (23% and 21%, respectively). Of 98 women (2 women were excluded from analysis), 19% had atrophic endometrium and 67% had endometrial hyperplasia in histopathological finding. Transvaginal ultrasound sensitivity and specificity were 100% and 92.9%, respectively while transabdominal ultrasound sensitivity and specificity were 92.8% and 65%, respectively. Conclusion: Transvaginal ultrasound scanning is an excellent tool for the determination of whether further investigation with histopathological examination of endometrial biopsy is necessary or not for women presented with abnormal uterine bleeding.
The Journal of the American Association of Gynecologic Laparoscopists, 2001
Study Objective. To compare accuracy of vaginoscopic hysteroscopy, a new method of outpatient hysteroscopy, with that of transvaginal sonography in diagnosing intracavitary pathology in women with abnormal uterine bleeding. Design. Retrospective comparative study (Canadian Task Force classification II-2). Setting. Department of gynecology in a tertiary care university hospital. Patients. Three hundred ninety-seven consecutive patients. Interventions. Vaginoscopic hysteroscopy, transvaginal sonography, and histologic evaluation of endometrium. Measurements and Main Results. Findings at hysteroscopy and sonography were compared with histopathologic results, considered the gold standard diagnosis. Sensitivity, specificity, and positive and negative likelihood ratios were 92%, 95%, 18.4, and 0.08 for vaginoscopic hysteroscopy and 67%, 87%, 5.15, and 0.38 for transvaginal sonography, respectively. Conclusion. Vaginoscopic hysteroscopy is quick and well tolerated, and more accurate in detecting intracavitary uterine pathology than transvaginal sonography. More research is required to determine its place in patients with abnormal uterine bleeding, especially premenopausal women.
International Journal of Women's Health, 2011
Intrauterine lesions (IULs) are a common finding in women of reproductive age, particularly infertile women. Transvaginal sonography (TVS) is a popular tool for IUL detection, but there are conflicting data with respect to its accuracy. Methods: Five hundred and six women were enrolled into the study. Of these, 496 underwent hysterosalpingography and subsequent TVS six different times during the course of their menstrual cycle. If a lesion was detected, it was further evaluated by sonohysterography (SHG) and hysteroscopy. Results: Of 496 women, 41 were shown to have IULs by TVS and those lesions were confirmed in 39 by SHG and hysteroscopy. All 39 lesions were detectable during the ovulatory and early luteal phase (days 16-19) of the menstrual cycle. Accuracy of TVS during different phases was largely dependent on the size of the lesion. TVS falsely detected two lesions and missed fine adhesions in two patients. Conclusion: Accuracy of TVS in detection of IULs is highly dependent on the menstrual cycle phase, with the ovulatory and early luteal phase being the optimal time for this examination.