Sonohysterography in the Diagnosis of Abnormal Uterine Bleeding : A Preliminary Report

Abstract

Objective The purpose of this study was to evaluate the value of sonohysterography in diagnosis in patients with abnormal uterine bleeding.

Subjects Twenty-five patients with abnormal uterine bleeding and transvaginal sono graphy suggested an abnormal endometrial echo. Intervention Sonohysterography was performed on all patients, using saline instilled through an endocervically placed catheter. The histologic or pathologic finding was evaluated after surgical procedures and compared with sonohysterography results.

Results Twenty-one of 25 sonohysterography demonstrated intrauterine abnor malities (13 endometrial polyps, 8 submucous myomas). The pathologic finding demonstrated 20 intrauterine pathologic cases (12 endometrial polyps, 8 submucous myomas). Sonohysterography had 100% sensitivity, 80% specificity, 95% positive predictive value, 100% negative predictive value, and 96% accuracy.

Conclusion Sonohysterography is a highly sensitive, specific, and accurate screening procedure for the evaluation of uterine cavitary in abnormal uterine bleeding and may be more cost effective than traditional methods of evaluation.