Hysteroscopy for Abnormal Uterine Bleeding
Hysteroscopy for Abnormal Uterine Bleeding
DOI:
https://doi.org/10.70284/njirm.v8i6.1338Keywords:
Hysteroscopy , Abnormal uterine bleeding , MenorrhagiaAbstract
Abnormal Uterine Bleeding is one of the most common complaints of the women attending gynec OPD which requires proper endometrial cavity evaluation. Hysteroscopy has been shown to be highly accurate in diagnosing abnormalities of the endometrial cavity, tubal ostia, and endocervical canal .The aim of the study is to evaluate the feasibility of hysteroscopy in abnormal uterine bleeding and Correlate the findings of hysteroscopy with histological findings. Methods: The present study “Hysteroscopy for Abnormal Uterine Bleeding“ is a prospective study, carried out at our institute from July 2015 to June 2016. 60 cases were taken up for the study. The results of hysteroscopy and endometrial histology were studied and analyzed. Results: The most common complaint was menorrhagia (17 cases, 28.33%) followed by menometrorrhagia. Abnormal findings were seen in 49 patients (81.66%). The most common abnormality was hyperplasia of endometrium (31.66%). Out of 60 patients of our study who underwent Hysteroscopy and subsequent curettage, 96.66% histopathological findings correlating with hysteroscopy. Conclusions: Hysteroscopy is a safe, reliable and quick procedure to evaluate the endometrial cavity in patients presented with abnormal uterine bleeding. As Hysteroscopy provides direct visualization of cervix, uterine cavity and cornual openings, it is much better than biopsy and curettage. [Kruti D NJIRM 2017; 8(6):75-78]
References
2. Gimpelson RJ, Rappold HO. A comparative study between panoramic hysteroscopy with directed biopsies and dilatation and curettage: a review of 276 cases. American Journal of Obstetrics and Gynecology. 1988 Mar 1;158(3):489-92.
3. Bettochi S, Nappi L, Ceci O, et al. Office hysteroscopy. Obstetrics and gynecology clinics of North America: advances in laparoscopy and hysteroscopy techniques, Philadelphia: W.B. Saunders Company; 2004. p. 641–54.
4. Panda A, Parulekar SV, Gupta A. diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation. J Obst Gyn India 1999; 175: 74-76
5. Gianninoto A, Morana C, Campione C. Diagnostic hysteroscopy in abnormal uterine bleeding. Five-years' experience. Minerva ginecologica. 2003 Feb;55(1):57-61.
6. Sciarra JJ, Valle RF. Hysteroscopy: a clinical experience with 320 patients. American journal of obstetrics and gynecology. 1977 Feb 15;127(4):340-8.
7. Hamou J. Microhysteroscopy. A new procedure and its original applications in gynecology. The Journal of reproductive medicine. 1981 Jul;26(7):375-82.
8. Pasqualotto EB, Margossian H, Price LL, Bradley LD. Accuracy of preoperative diagnostic tools and outcome of hysteroscopic management of menstrual dysfunction. The Journal of the American Association of Gynecologic Laparoscopists. 2000 May 1;7(2):201-9.
9. Singh S, Taneja BK, Singh P, Ahlawat R. Role of diagnostic hysteroscopy in abnormal uterine bleeding. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017 Jan 4;3(3):544-51.
10. Clark TJ, Voit D, Gupta JK, Hyde C, Song F, Khan KS. Accuracy of hysteroscopy in the diagnosis of endometrial cancer and hyperplasia: a systematic quantitative review. Jama. 2002 Oct 2;288(13):1610-21.
11. Yela DA, Hidalgo SR, Pereira KC, Gabiatti JR, Monteiro IM. Comparative study of transvaginal sonography and outpatient hysteroscopy for the detection of intrauterine diseases. Acta medica portuguesa. 2011;24:65-70.
12. Nagele F, O'connor H, Davies A, Badawy A, Mohamed H, Magos A. 2500 outpatient diagnostic hysteroscopies. Obstetrics & Gynecology. 1996 Jul 1;88(1):87-92.