A pilot evaluation of saline sonohysterography for postmenopausal bleeding with thickened endometrium
| Autor: | D. H. O. Pugh, S. I. M. F. Ismail, K. Gower-Thomas, Christine Davies |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Metrorrhagia medicine.medical_treatment Uterus Pilot Projects Sodium Chloride Endometrium Polyps medicine Humans Saline Cervix Ultrasonography business.industry Ultrasound Obstetrics and Gynecology Middle Aged medicine.disease Endometrial Neoplasms Surgery Postmenopause Administration Intravaginal Stenosis medicine.anatomical_structure POSTMENOPAUSAL BLEEDING Female medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology. 29:132-134 |
| ISSN: | 1364-6893 0144-3615 |
| Popis: | The aim of this study was to assess the clinical and cost implications of pilot introduction of saline sonohysterography for postmenopausal bleeding with thickened endometrium (>or= 5 mm), at the Royal Glamorgan Hospital. The investigation was attempted in 48 patients who were found to have a thickened endometrium (>or= 5 mm) on transvaginal ultrasound scanning. The attempt was successful in 45 patients (93.8%). Failures were due to (1) cervical stenosis and (2) leakage of saline from the cervix. Difficult catheterisation of the cervix causing pain was encountered in a minority of cases. Two-thirds of patients were found have focal lesions and were booked for hysteroscopic resection. These patients included 30 with polyps, which were precisely described in all of them. In view of this low complication rate and high accuracy, the technique was integrated as a standard method of investigation for postmenopausal bleeding at the hospital. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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