Evaluation of Role of Transvaginal Sonography as Diagnostic Aid in Comparison with Hysteroscopy in Management of Perimenopausal AUB
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background: Hysteroscopic guided biopsy is the gold standard for diagnosing endometrial pathologies. It is an invasive procedure and its use can be restricted by using imaging modalities like TVS. TVS is a first line screening procedure which has very high sensitivity in detecting endometrial pathologies. Aim and Objective: To compare the hysteroscopy and transvaginal ultrasonography finding with the histopathological report of specimen of endometrium obtained by hysteroscopic guided biopsies. To evaluate the accuracy of hysteroscopy compared to transvaginal sonography in diagnosing the etiology of abnormal uterine bleeding. Methodology: Study design: A prospective observational comparative study evaluating the role of TVS as an outpatient procedure in screening for endometrial pathologies of perimenopausal women with AUB. 100 perimenopausal women with clinical diagnosis of abnormal uterine bleeding were selected from the gynaecology OPD of GTVMMCH, Thiruvannamalai between July 2016 and June 2017. They were subjected to Transvaginal ultrasonography as an OP procedure followed by hysteroscopy and hysteroscopic directed biopsy. The efficacy of TVS was determined by correlating the histopathological results obtained from it and the hysteroscopic directed biopsy. Results:The histopathology of the endometrium obtained using Hysteroscopic guided biopsy were compared with TVS and Hysteroscopy. Conclusion: Although TVU represents a practical approach for the initial evaluation of uterine pathologies, a hysteroscopic examination would be necessary in most of the suspicious cases. Hysteroscopy seems to offer better diagnostic value for uterine pathologies in general, and uterine polyps in particular and transvaginal sonography is an excellent screening modality and helps to identify cases who mandate hysteroscopy.
Authors and Affiliations
Dr. Shanthi Sivakumar, Dr. S. Nalina, Dr. Revathi
Keywords
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- EP ID EP244810
- DOI 10.9790/0853-1610141418
- Views 52
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