Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination

Paweł Radwan; Michał Radwan; Marek Kozarzewski; Ireneusz Polac; Jacek Wilczyński

doi:10.5114/wiitm.2014.43024

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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3/2014
vol. 9

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abstract:

Original paper

Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination

Paweł Radwan

,

Michał Radwan

,

Marek Kozarzewski

,

Ireneusz Polac

,

Jacek Wilczyński

Videosurgery Miniinv 2014; 9 (3): 344–350

DOI: https://doi.org/10.5114/wiitm.2014.43024

Online publish date: 2014/05/26

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AMA

Radwan P, Radwan M, Kozarzewski M, Polac I, Wilczyński J. Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination. Videosurgery and Other Miniinvasive Techniques. 2014;9(3):344-350. doi:10.5114/wiitm.2014.43024.

APA

Radwan, P., Radwan, M., Kozarzewski, M., Polac, I.,  & Wilczyński, J. (2014). Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination. Videosurgery and Other Miniinvasive Techniques, 9(3), 344-350. https://doi.org/10.5114/wiitm.2014.43024

Chicago

Radwan, Paweł, Michał Radwan, Marek Kozarzewski, Ireneusz Polac,  and Jacek Wilczyński. 2014. "Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination". Videosurgery and Other Miniinvasive Techniques 9 (3): 344-350. doi:10.5114/wiitm.2014.43024.

Harvard

Radwan, P., Radwan, M., Kozarzewski, M., Polac, I.,  and Wilczyński, J. (2014). Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination. Videosurgery and Other Miniinvasive Techniques, 9(3), pp.344-350. https://doi.org/10.5114/wiitm.2014.43024

MLA

Radwan, Paweł et al. "Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination." Videosurgery and Other Miniinvasive Techniques, vol. 9, no. 3, 2014, pp. 344-350. doi:10.5114/wiitm.2014.43024.

Vancouver

Radwan P, Radwan M, Kozarzewski M, Polac I, Wilczyński J. Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination. Videosurgery and Other Miniinvasive Techniques. 2014;9(3):344-350. doi:10.5114/wiitm.2014.43024.

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Introduction: Hysteroscopy is considered the ‘gold standard’ procedure in assessing uterine pathology however it is more expensive and invasive method than ultrasonography. An alternative to the diagnostic hysteroscopy is sonohysterography.

Aim: To evaluate the usefulness of sonohysterography in detecting endometrial polyps in female patients diagnosed with infertility.

Material and methods: We compared the results of sonohysterographic examinations with hysteroscopy combined with histopathological findings.

Results: All the 241 sonohysterography examinations were performed successfully. No complications were observed. Forty-three hysteroscopies (17.8%) and six sonohysterography examinations (2.5%) were performed in short total intravenous anesthesia because of a low pain threshold of the patients. After hysteroscopic resection polyps were diagnosed in 74 (30.7%) patients. In 72 cases both saline infusion sonography (sonohysterography, SIS) examination and hysteroscopy confirmed the occurrence of an endometrial polyp. In 7 examinations (4.2%) the diagnosed polyp was not confirmed in sonohysterography (false-positive results). Two SIS procedures (2.7%) did not confirm the occurrence of the polyp (false-negative results). Sensitivity, specificity accuracy and error of sonohysterography in detecting endometrial polyps were 97.3%, 95.8% 96.2% and 3.7%, respectively. Positive and negative predictive values were 91.1% (PPV) and 98.7% (NPV). The agreement between SIS and hysteroscopy combined with histopathological examination was very high (K = 0.91).

Conclusions: Sonohysterography is a safe and highly sensitive and specific method used in diagnostics of endometrial polyps. Its results closely correspond to those obtained in a hysteroscopic examination and histopathological analysis.

keywords:

Evaluation of sonohysterography in detecting endometrial polyps – 241 cases followed with office hysteroscopies combined with histopathological examination

Paweł Radwan , Michał Radwan , Marek Kozarzewski , Ireneusz Polac , Jacek Wilczyński

sonohysterography, endometrial polyp, saline infusion sonography, hysteroscopy, infertility, uterus

Paweł Radwan

,

Michał Radwan

,

Marek Kozarzewski

,

Ireneusz Polac

,

Jacek Wilczyński