Abstract:

Our objective was evaluate the value of transvaginal sonohysterography in the diagnosis of endometrial submucosal and intracavitary lesions in patients with abnormal uterine bleeding. This was a prospective case controlled study. 105 patients were evaluated with an transvaginal ultrasonography. Sonohysterography was performed in 50 women (aged 33-64) with abnormal uterine bleeding in whom transvaginal sonography suggested an increased endometrial thickness or poorly defined endometrium. Sterile saline solution, 10-30 ml, was injected into the endometrial cavity under direct ultrasonographic visualization. Once the endometrial cavity was expanded, the presence of polyps or submucous myomas and the anterior and posterorendometrial thickness was assessed. Then endometrial biopsy was performed. 26 of 50 patients underwent hysterectomy. Sonohysterography is highly accurate method which allow differentiation of intracavitary, endometrial and submucosal lesions in patients with abnormal uterine bleeding.

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