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Saline infusion sonohysterography for uterine cavity evaluation in women with abnormal uterine bleeding

Mohamed Abd El-Sattar, Ahmed M. Abbas, Mohamed K. Tawfik, Mahmoud A. Fouad.

Background: The aim of this study was to compare the diagnostic effectiveness of saline infusion sonohysterography (SIS) with hysteroscopy, as a gold standard diagnostic method, in detecting endometrial pathology in premenopausal women with abnormal uterine bleeding.
Methods: A prospective study was conducted at Al-Azhar University hospital, Assiut, Egypt. Fifty patients were recruited from the gynecological outpatient clinic complaining of abnormal uterine bleeding. They were evaluated by SIS and compared with hysteroscopic examination for each.
Results: The mean age of patients was 45.563.48 years. All the intracavitary lesions; endometrial polyps, submucous fibroids and hyperplastic endometrium were equally detected by both methods. Diagnostic accuracy of SIS in comparison with hysteroscopy was 76% with sensitivity 80%, specificity 72%.
Conclusions: SIS is a reliable and accurate method for evaluation of the uterine cavity. It can be a good alternative technique for the evaluation of uterine cavity abnormalities where hysteroscopy is not available.

Key words: Abnormal uterine bleeding, Saline infusion sonohysterography, Hysteroscopy

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