Comparison between suction curettage, transvaginal sonography and hysteroscopy for the diagnosis of endometrial polyp

Background: Abnormal uterine bleeding is defined as any deviation from the normal menstrual cycle this include change in regularity, frequency of menses, duration or amount of bleeding during or in between periods. Objective of present study was to evaluate abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women.Methods: This study is conducted on women presenting to the gynecological OPD with complain of abnormal uterine bleeding in perimenopausal age group. A total of 50 patients were subjected to transvaginal sonography and Diagnostic hysteroscopy.Results: On TVS, out of total 50 patients, 50% patient showed normal endometrial finding. 24% Patient showed Endometrial hyperplasia, 14% Endometrial Polyp, 8% Submucosal fibroid, 4% Adenomyosis. On TVS, out of total 50 patient, 50% patient showed normal endometrial finding. 24% Patient showed endometrial hyperplasia, 14% endometrial Polyp, 8% submucosal fibroid, 4% adenomyosis. Out of total 50 patients, 28 (56%) showed normal endometrial finding.20% cases showed endometrial Hyperplasia, 16% showed endometrial Polyp, 8% showed submucosal fibroid. Sensitivity, specificity, PPV, NPV of endometrial hyperplasia – 81.81%, 92.3%, 75%, 94.73% respectively.Conclusions: Transvaginal sonography has a moderate diagnostic accuracy in detecting endometrial hyperplasia and other intrauterine pathology. TVS is safe, acceptable and easily available & is noninvasive. It should be used as 1st line diagnostic tool in patients with AUB in perimenopausal women. Hysteroscopy has important tool in the diagnosis of various endometrial and intrauterine lesions TVS and hysteroscopy should be employed hand in hand in evaluation of AUB.

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OP29.08: 3D-transvaginal sonography by VCI analysis to differentiate endometrial polyp and hyperplasia in pre-menopausal women

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.9533 ◽

2011 ◽

Vol 38 (S1) ◽

pp. 141-141

Author(s):

F. Leone ◽

C. Marciante ◽

A. Crepaldi ◽

E. Ferrazzi

Keyword(s):

Endometrial Polyp ◽

Transvaginal Sonography ◽

Menopausal Women

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Transvaginal ultrasonography is the diagnostic method for evaluation of abnormal uterine bleeding

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v1i1.12168 ◽

2012 ◽

Vol 1 (1) ◽

pp. 11-13

Author(s):

Kulsum Haq ◽

Shabnom Ferdous Chowdhury ◽

Maksuda Mannan ◽

Rokshana Ivy ◽

K Shahneela Tasnim

Keyword(s):

Endometrial Carcinoma ◽

Predictive Value ◽

Endometrial Hyperplasia ◽

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Endometrial Polyp ◽

Transvaginal Ultrasonography ◽

Transvaginal Sonography ◽

Dysfunctional Uterine Bleeding ◽

Histopathologic Evaluation

Objective: The objective of this study is to assess the utility of transvaginal ultrasonography in patients presenting abnormal uterine bleeding Materials and methods: Between July 2000 to December 2000, 50 patients underwent transvaginal sonography (TVS) for abnormal uterine bleeding. All patients had transvaginal sonography before histopathology. On TVS, the sonographic appearance of the endometrium was classified according to the following parameters: normal or abnormal thickness, homogeneous or heterogeneous echogenicity, bulbous contour, discontinuous, or obscured. A comparison was performed between TVS with histopathology. Results: The most common causes for the abnormal uterine bleeding were leiomyoma in TVS (42.0%). Other causes were dysfunctional uterine bleeding (28.0%). adenomyosis (6.0%), endometrial polyp (4.0%), thin atrophic endometrium (8.0%), endometrial hyperplasia (8.0%), and endometrial carcinoma (4.0%). After histopathologic evaluation 40.0% patients had leiomyoma, 24.0% DUB, 10.0% adenomyosis, 8.0% endometrial polyp, 8.0% thin atrophic endometrium, 6.0% endometrial carcinoma and 4.0% endometrial hyperplasia. Comparing the TVS with histopathologic findings, TVS had a sensitivity of 94.3%, specificity of 80.0%. accuracy of 90.0%, PPV of 91.6% and NPV of 85.7%. Conclusion: TVS is an easy, safe, rapid and tolerable procedure. It has an excellent diagnostic accuracy in the diagnosis of uterine pathology responsible for abnormal uterine bleeding. Abbreviation: TVS transvaginal sonography; AUB abnormal uterine bleeding; DUB dysfunctional uterine bleeding, PPV positive predictive value, NPV Negative predictive value. DOI: http://dx.doi.org/10.3329/jssmc.v1i1.12168 Journal of Shaheed Suhrawardy Medical College Vol.1, No.1, December 2009 p.11-13

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The implementation of routine procedural transvaginal sonography to decrease retained products of conception: a quality improvement initiative

BMC Women s Health ◽

10.1186/s12905-021-01488-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

M. Alyssa Larish ◽

E. Claire Jensen ◽

C. Kristin Mara ◽

C. Isabel Green ◽

R. Matthew Hopkins ◽

...

Keyword(s):

Retrospective Chart Review ◽

First Trimester ◽

Practice Change ◽

Transvaginal Sonography ◽

Quality Improvement Initiative ◽

Asherman’S Syndrome ◽

Retained Products Of Conception ◽

Products Of Conception ◽

Suction Curettage ◽

Retained Products

Abstract Background Retained products of conception (POC) following uterine evacuation can lead to adverse sequelae, including hemorrhage, endometritis, intrauterine adhesions, and reoperation. Use of procedural transvaginal sonography (TVUS) in the operating room has been proposed to help decrease retained POC. Methods A retrospective review of all first trimester uterine evacuation procedures from 1/2015 to 2/2017 was performed, noting use of transabdominal ultrasonography, retained products of conception, and complications. A practice change was implemented in May 2018, in which routine intra-procedural TVUS use was initiated. A second retrospective chart review was conducted to assess for post-implementation incidence of retained POC, re-operation, and associated complications. Results Prior to intra-procedural TVUS implementation, 130 eligible procedures were performed during the specified timeframe, with 9/130 (6.9%) incidence of retained products of conception. TAUS was performed in 59/130 (45.4%) of procedures, and 4/9 (44.4%) of those with retained products. There were eight re-operative procedures in seven patients, and two patients were treated with misoprostol. Complications included hemorrhage, Asherman’s syndrome and endometritis. Following implementation, 95 first trimester procedures were performed with transvaginal sonography, with 0 (0%) cases of retained POC (p = 0.01), no incidences of re-operation (p = 0.02), and one case of Asherman’s syndrome. TVUS findings led to additional focused suction curettage in 20/95 (21.0%) of procedures. The endometrium was measured on procedure completion in 64 procedures, with a mean thickness of 5.5 mm (1–12 mm). Conclusion Implementation of routine TVUS during uterine evacuation may reduce the incidence of retained POC and associated reoperation rates. Further multi-center trials are needed to confirm this finding.

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Evaluation of the tamoxifen-exposed endometrium by transvaginal sonography

Clinical Journal of Women s Health ◽

10.1053/cjwh.2000.19551 ◽

2000 ◽

Vol 1 (1) ◽

pp. 10-15 ◽

Cited By ~ 2

Author(s):

W. Scott Taylor ◽

Kim Lee-Wilkins ◽

Yvonne Sparling ◽

Phillip J. Goldstein

Keyword(s):

Transvaginal Sonography

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