Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding

Gabriela Dimitriu; Ibrahim A. Abdelazim; Shikanova Svetlana; Gulmira Zhurabekova; Rami S. Alrbeihat; Omar A. Taso

doi:10.5114/jogi.2018.77765

ISSN: 2545-0646

Journal of Obstetrics and Gynecological Investigations

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abstract:

Original article

Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding

Gabriela Dimitriu

,

Ibrahim A. Abdelazim

,

Shikanova Svetlana

,

Gulmira Zhurabekova

,

Rami S. Alrbeihat

,

Omar A. Taso

DOI: https://doi.org/10.5114/jogi.2018.77765

Online publish date: 2018/08/27

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AMA

Dimitriu G, Abdelazim I, Svetlana S, Zhurabekova G, Alrbeihat R, Taso O. Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding. Journal of Obstetrics and Gynecological Investigations. 2018;1(1):35-40. doi:10.5114/jogi.2018.77765.

APA

Dimitriu, G., Abdelazim, I., Svetlana, S., Zhurabekova, G., Alrbeihat, R.,  & Taso, O. (2018). Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding. Journal of Obstetrics and Gynecological Investigations, 1(1), 35-40. https://doi.org/10.5114/jogi.2018.77765

Chicago

Dimitriu, Gabriela, Ibrahim A. Abdelazim, Shikanova Svetlana, Gulmira Zhurabekova, Rami S. Alrbeihat,  and Omar A. Taso. 2018. "Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding". Journal of Obstetrics and Gynecological Investigations 1 (1): 35-40. doi:10.5114/jogi.2018.77765.

Harvard

Dimitriu, G., Abdelazim, I., Svetlana, S., Zhurabekova, G., Alrbeihat, R.,  and Taso, O. (2018). Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding. Journal of Obstetrics and Gynecological Investigations, 1(1), pp.35-40. https://doi.org/10.5114/jogi.2018.77765

MLA

Dimitriu, Gabriela et al. "Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding." Journal of Obstetrics and Gynecological Investigations, vol. 1, no. 1, 2018, pp. 35-40. doi:10.5114/jogi.2018.77765.

Vancouver

Dimitriu G, Abdelazim I, Svetlana S, Zhurabekova G, Alrbeihat R, Taso O. Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding. Journal of Obstetrics and Gynecological Investigations. 2018;1(1):35-40. doi:10.5114/jogi.2018.77765.

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Introduction
Evaluation of abnormal uterine bleeding (AUB) in women ≥ 40 years or menopausal women is of critical importance to confirm the benign nature of the problem, and to exclude endometrial carcinoma. This study was designed to evaluate the accuracy of saline infusion sonography (SIS) compared to hysteroscopy in diagnosing uterine cavity abnormalities in cases of AUB.

Material and methods
One hundred and eighty-six women diagnosed with AUB were included in this comparative study, and agreed to have SIS, beside the hysteroscopic assessment of the uterine cavity.

Results
In this study, hysteroscopy was more sensitive (98.7% vs. 97.4%), more specific (100% vs. 99.1%), and more accurate (99.5% vs. 98.4%) than SIS. In addition, hysteroscopy had higher predictive values, 100% positive predictive value, and 99.1% negative predictive value compared to 98.7% positive predictive value, and 98.2% negative predictive value for SIS in diagnosis of uterine cavity abnormalities. However, these differences were not statistically significant (p > 0.05).

Conclusions
Saline infusion sonography is a simple, well-tolerated procedure that can be used in an outpatient setting to diagnose uterine cavity anomalies in cases of abnormal uterine bleeding when outpatient hysteroscopy is not available or as a complementary tool to confirm the diagnosis detected by hysteroscopy.

keywords:

Saline infusion sonography compared to hysteroscopy for uterine cavity evaluation in abnormal uterine bleeding

Gabriela Dimitriu , Ibrahim A. Abdelazim , Shikanova Svetlana , Gulmira Zhurabekova , Rami S. Alrbeihat , Omar A. Taso

saline, sonography, hysteroscopy, uterine, bleeding

Gabriela Dimitriu

,

Ibrahim A. Abdelazim

,

Shikanova Svetlana

,

Gulmira Zhurabekova

,

Rami S. Alrbeihat

,

Omar A. Taso