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    How effective TV-USG, SIS and hysteroscopy are in evaluating uterine cavity?
    (2011) Güngören, Arif; Dolapçio?lu, Kenan; Hakverdi, Ali Ulvi; Çiftçi, Şinasi C.; Yetim, Ça?cil
    Objective: To identify how effective transvaginal ultrasonography (TV-USG), saline infusion sonohysterography (SIS) and hysteroscopy are in evaluating the uterin cavity, that were carried out in our clinic between November 2004 and January 2008. Material and Methods: 186 patients, visiting our clinic with the complaints of infertility, repeating pregnancy loss, abnormal uterine bleeding, postmenopausal bleeding, have been included in our prospective study. TV-USG and hysteroscopy were applied to all patients, but saline infusion SIS was applied, before hysteroscopy, to those on who lesion was considered in uterine cavity. In the cases where pathology was identified in the cavity, a biopsy was taken out of the related lesion during hysteroscopy or all structure was resected and sent to pathology. All data dealing with the patients were recorded in SPSS 13.0 program and then sensitivity, specifity, positive and negative predictive data were calculated accordingly. Results: Age interval of the patients studied was between 16 and 73, with the average of 36.19 ± 9.67. 172 patients out of all (92.5%) were in premenopausal, 14 (7.5%) were in postmenopausal period. As a result of hysteroscopy applied on the patients, while uterine cavity was evaluated as normal on 73 patient (39.2%), a uterine pathology was observed or suspected in 113 (59.8%) patients. For TV-USG and SIS, where hysteroscopy was evaluated as gold standard, sensitivity was 69% and 87.8%, specitity 87.7% and 42.8% respectively for all uterine patologies. Hysteroscopy sensitivity was recorded 91.2% and its specifity 30.7% as well when histopathology of the material obtained during the operation was based on as reference. Conclusion: TV-USG, SIS and hysteroscopy are the methods used currently in evaluating the uterine cavity, but hysteroscopy is the most efficient method in terms of diagnostic valuableness. On the other hand, an efficient application of TV-USG and SIS seems more appropriate when evaluated in terms of cost and time consumed. Copyright © 2011 by Türkiye Klinikleri.