Author/Authors :
Şahin, Banuhan Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Demirtaş, Ömer Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Karabulut, Aysun Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Alataş, Erkan Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Fenkçi, İbrahim Veysel Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Güler, Ömer Tolga Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Simavl, Serap Aynur Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Öztekin, Özer Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Şahin, Buğra Pamukkale Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum ABD, Denizli , Akbulut, Metin Pamukkale Üniversitesi - Tıp Fakültesi - Patoloji ABD, Denizli
Title Of Article :
Effectiveness of hysteroscopy in assessment of gynecologic problems, retrospective analysis
Abstract :
Purpose: We aimed to evaluate the effectiveness of hysteroscopy (H/S) in the assessment of gynaecological problems by comparing preoperative indications with postoperative outcomes of patients undergoing H/S.Materials and methods: : A total of 155 patients who admitted to Pamukkale University, Obstetrics and Gynecology clinic and underwent hysteroscopy with different indications between 1 January 2013 and 1 January 2015 were evaluated retrospectively. Transvaginal ultrasound (TVUSG) and hysterosalpingography (HSG) findings used in preoperative diagnosis were compared with observations in the video recordings obtained during H/S operation and postoperative histopathological examination results. The data was analyzed with SPSS 17.0 software (statistical package for social sciences, Chicago, IL).Results: A total of 155 patients with a median age of 33 (range 18-60) were evaluated retrospectively. Increased endometrial thickness was diagnosed in 8 patients, endometrial polyp in 32 patients, menometrorhagia in 14 patients, submucosal myoma in 10 patients, and asherman in 5 patients. Hysteroscopy was performed in 73 patients with infertility, and intrauterine septum resection was performed in 13 of them. Lost intrauterine device (IUD) was removed in 13 patients and adhesiolysis was performed in 5. According to postoperative histopathology reports; 5 patients with simple endometrial hyperplasia without atypia, 38 patients with endometrial polyp, 7 patients with submucosal myoma and 1 patient with placental rest were detected, results were normal in 9 patients. Sensitivity, specificity, positive and negative predictive values and the accuracy for prediction of endometrial polyps with TVUSG in were calculated as; %63.1, %93.1, %75, %88.6 and %%85.8 respectively.Conclusion: Although TVUSG is very informative instrument in the evaluation of endometrial pathologies, it cannot be discriminatory in determining nature of the pathologies. Hysteroscopy guided endometrial biopsy is the gold standard for the evaluation of endometrial pathologies. Similarly, HSG seems to be very effective in detecting space occupying lesions of the endometrium in infertile patient population, but it may not give enough information about the nature of the mass except uterine septum.
NaturalLanguageKeyword :
Hysteroscopy , gynaecologic problems , TVUSG , pathology
JournalTitle :
Pamukkale Medical Journal
