COMPARISON OF SALINE INFUSION SONOGRAPHY WITH OFFICE HYSTEROSCOPY IN EVALUATION OF ABNORMAL UTERINE BLEEDING

Davinder Bhardwaj; Rony Chakravarty; Sushil Chawala; Jyothivishnu JL; KG Vivek

Volume : VIII, Issue : VIII, August - 2019

COMPARISON OF SALINE INFUSION SONOGRAPHY WITH OFFICE HYSTEROSCOPY IN EVALUATION OF ABNORMAL UTERINE BLEEDING

Davinder Bhardwaj, Rony Chakravarty, Sushil Chawala, Jyothivishnu Jl, Kg Vivek

Abstract :

Aim: To evaluate the diagnostic potential of saline infusion sonography(SIS) to pick up uterine cavity lesions and compare it with the gold standard office hysteroscopy in women with abnormal uterine bleeding. Methods: Study population consisted of women scheduled for office hysteroscopy for various indications. Uterine cavity of 105 women of the study group were evaluated first by SIS and then by office hysteroscopy by two separate examiners. Findings were recorded separately for both procedures and compared. Result: With SIS, pathological findings were identified in 47 (47%) patients and hysteroscopy detected lesions in 44 (44%) patients. For all findings combined sensitivity of SIS was 88.6%, specificity 87.5%, positive predictive value 84.7% and negative predictive value 94.7% as compared to hysteroscopy. Conclusion: The findings of saline infusion sonography and office hysteroscopy did not differ significantly. Thus SIS is an excellent option for uterine cavity evaluation.