Evaluation of Uterine Cavity in Infertile Women: Comparison of Transvaginal Ultrasound, Saline Contrast Hystero-Sonography and Hysteroscopy—A Tunisian Series
The development of uterine pathologies usually
involves transvaginal ultrasonography, possibly supplemented by hysteroscopy.
Recent technical developments in ultrasound have given rise to a new
exploration technique: hysterosonography or ultrasound with contrast
enhancement. Hysterosonography has emerged today in the study of the uterine
cavity with a precise analysis of the endometrial mucosa and related
pathologies. Objectives: To
determine the contribution of hysterosonography in uterine cavity pathologies,
and appraise the performance of this examination in the evaluation of the
uterine cavity by comparing it to vaginal ultrasound and diagnostic
hysteroscopy. A retrospective study of 39 hysterosonography examinations was
performed in the Gynecology and Obstetrics Department of Farhat Hached University Hospital
Center, Sousse,
Tunisia. Included in the study were patients suffering from infertility. During
the period of the clinical trial, 39 patients were potential candidates for
this study. The mean age of the patients was 31.5 years. In case of hypofertility
associated with endometrial polyps, the hysterosonography/histology concordance
was of 51.4% (13/24). The statistical values of the hysterosonography were:
sensitivity: 76.9%, specificity: 27.2%, VPP: 55.5%, and VPN: 50%. In case of
uterine malformation, hysterosonography allowed the diagnosis to be made in
three cases, with a sensitivity of 100%, but the number of these abnormalities
was limited and the statistical value was low. In clinical practice, combining
hysterosonography with transvaginal ultrasound may increase the sensitivity of
the latter, thus avoiding unnecessary diagnostic hysteroscopies. It is likely
to significantly reduce the indications for diagnostic hysteroscopy, a test
that is not devoid of morbidity.
Cite this paper
Briki, R. , Cherif, O. , Chachia, S. , Bibi, M. , Boughizane, S. , Khlifi, A. and Khairi, H. (2018). Evaluation of Uterine Cavity in Infertile Women: Comparison of Transvaginal Ultrasound, Saline Contrast Hystero-Sonography and Hysteroscopy—A Tunisian Series. Open Access Library Journal, 5, e4826. doi: http://dx.doi.org/10.4236/oalib.1104826.
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