Diagnostic Accuracy of Sonohysterography in the Detection of Intrauterine Lesions in Infertile Patients

Background/Objective: To evaluate the diagnostic accuracy of sonohysterography in the detection of intrauterine lesions among infertile patients and comparing the results with hysteroscopy as the gold standard."nPatients and Methods: A total of 80 infertile patients with a mean age of 31.78 years (range 23-44) underwent hysterosonographic assessment by 3DXI method followed by hysteroscopy. Sonohysterography was performed in the cycle day of 8-11. Sensitivity, specificity were calculated for sonohysterography."nResults: The accuracy of transvaginal ultrasound in diagnosing intracavity pathologies such as submucous fibroids and polyps is improved with saline instillation to levels of accuracy comparable to that of outpatient hysteroscopy. Sonohysterography had the same diagnostic accuracy in 73 out of 80 cases (91.3%). So-nohysterography had disagreement with only one out of seven (14%) intrauterine abnormalities from acquired origin diagnosed at hysteroscopy and four out of 38 (10%) intrauterine lesions from congenital origin."nConclusion: Sonohysterography is a cost-effective and non-invasive method for diagnosis of intra-uterine lesions; it can be a proper alternative for diagnostic hysteroscopy by saving more time and helping the surgeon to perform the procedure more accurately.