open access

Vol 88, No 6 (2017)
Research paper
Published online: 2017-06-30
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Usefulness of saline infusion sonohysterography and feeding artery imaging in endometrial polyp diagnosis

Marcin Anioł1, Grażyna Dec, Katarzyna Wojda, Piotr Sieroszewski
DOI: 10.5603/GP.a2017.0054
·
Pubmed: 28727125
·
Ginekol Pol 2017;88(6):285-288.
Affiliations
  1. Department of Fetal Medicine and Gynecology, First Chair of Gynecology and Obstetrics, Medical University of Lodz, Poland, Poland

open access

Vol 88, No 6 (2017)
ORIGINAL PAPERS Gynecology
Published online: 2017-06-30

Abstract

Objectives: The aim of this study was to assess the usefulness of sonohysterography with feeding artery visualization using transvaginal sonography to diagnose endometrial polyps.

Material and methods: We conducted an observational study of 60 perimenopausal patients referred to the Department of Fetal Medicine and Gynaecology, Medical University of Lodz with abnormal uterine bleeding or suspicion of endometrial pathology based on sonography scan. In all 60 patients transvaginal sonography scan showed a possibility of an endometrial polyp. Of these, 46 underwent saline infusion sonohysterography with sonography visualization of a feeding artery. Pathological examination was performed on material collected during hysteroscopy.

Results: Sonography detection of endometrial polyp based on feeding artery visualization had a 40% sensitivity, whereas sonohysterographic polyp detection had a sensitivity of 75% and a specificity of 100%. The positive and negative predictive values of saline infusion sonohysterography in diagnosing endometrial polyps were estimated at 75% and 72% (95% CI: 52–86%), respectively. The combination of sonohysterography and feeding artery imaging in transvaginal sonography was 84% sensitive and 95% specific in detecting endometrial polyps. The positive and negative predictive values were: PPV = 96% and NPV = 89%.

Conclusion: Saline infusion sonohysterography with feeding artery visualization may become a standard method in the diagnostics of endometrial polyps in perimenopausal women.

Abstract

Objectives: The aim of this study was to assess the usefulness of sonohysterography with feeding artery visualization using transvaginal sonography to diagnose endometrial polyps.

Material and methods: We conducted an observational study of 60 perimenopausal patients referred to the Department of Fetal Medicine and Gynaecology, Medical University of Lodz with abnormal uterine bleeding or suspicion of endometrial pathology based on sonography scan. In all 60 patients transvaginal sonography scan showed a possibility of an endometrial polyp. Of these, 46 underwent saline infusion sonohysterography with sonography visualization of a feeding artery. Pathological examination was performed on material collected during hysteroscopy.

Results: Sonography detection of endometrial polyp based on feeding artery visualization had a 40% sensitivity, whereas sonohysterographic polyp detection had a sensitivity of 75% and a specificity of 100%. The positive and negative predictive values of saline infusion sonohysterography in diagnosing endometrial polyps were estimated at 75% and 72% (95% CI: 52–86%), respectively. The combination of sonohysterography and feeding artery imaging in transvaginal sonography was 84% sensitive and 95% specific in detecting endometrial polyps. The positive and negative predictive values were: PPV = 96% and NPV = 89%.

Conclusion: Saline infusion sonohysterography with feeding artery visualization may become a standard method in the diagnostics of endometrial polyps in perimenopausal women.

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Keywords

sonography, endometrial polyp, sonohysterography

About this article
Title

Usefulness of saline infusion sonohysterography and feeding artery imaging in endometrial polyp diagnosis

Journal

Ginekologia Polska

Issue

Vol 88, No 6 (2017)

Article type

Research paper

Pages

285-288

Published online

2017-06-30

DOI

10.5603/GP.a2017.0054

Pubmed

28727125

Bibliographic record

Ginekol Pol 2017;88(6):285-288.

Keywords

sonography
endometrial polyp
sonohysterography

Authors

Marcin Anioł
Grażyna Dec
Katarzyna Wojda
Piotr Sieroszewski

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