SENSITIVITY OF SONOHYSTEROGRAPHY FOR THE DIAGNOSIS OF BENIGN UTERINE PATHOLOGY.

Abstract

Purpose: For most of the pathologies that involve the female genital tract, pelvic sonography is an easily accessible, cost-effective tool and should be considered as the initial study of choice. However, its effectiveness depends on the operator ability and their experience demonstrated in its interpretation. A few studies exist that demonstrate the sensitivity of sonohysterography as a diagnostic method for specic uterine pathologies. With the above, our research question comes up: what is the sensitivity of sonohysterography for the diagnosis of benign uterine pathology? Methods: A prospective, cross-sectional, observational study of diagnostic sensitivity was carried out in patients who came to the ofce for abnormal uterine bleeding or fertility problems and who required imaging conrmation for this pathology. Sonohysterography and hysteroscopy with biopsy for histopathology were performed in all cases. A total of 42 womenResults: were studied, with an average age of 36 years and a BMI of 24 ± 3 kg / mt2, who's the most frequent reason for consultation was infertility (71%). The sensitivity of sonohysterography for the polyposis and uterine broids diagnosis was 93% and 85%, respectively. We propose the possibility that sonohysterography can be used as an alternative procedure toConclusion: hysteroscopy, leaving the latter as a conrmatory method. This is a method that is easy to perform, less invasive, less costly, and is well-tolerated. Therefore, diagnostic hysteroscopy could be limited to an inconclusive Sono-HSG, raising the possibility of replacing 89% of outpatient diagnostic hysteroscopies.