Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Endometrial polyps are one of the most common causes of abnormal uterine bleeding in reproductive and perimenopausal age group of women which is an easily treatable. With the use of transvaginal ultrasound and advent of saline sonohysterography more polyps are being diagnosed even in asymptomatic patients. The objective of the study is to determine the efficacy of saline sonohysterography as an adjuvant to transvaginal sonography in the detection of endometrial polyps. A Prospective Cohort Study was conducted on 50 patients in the reproductive and perimenopausal age group with history of abnormal uterine bleeding .After specific history taking with clinical examination and lab investigations, these patients were advised to undergo transvaginal sonography and saline sonohysterography. We found out statistically significant association between the detection of endometrial polyp and the diagnostic method used in our study either SIS or TVS [Chi‐square value‐6.383 and p = 0.012]. SIS detected seven endometrial polyp cases whereas TVS detected none. Therefore it was concluded that SIS is superior to TVS in detection of endometrial polyps. The diagnostic efficacy of both the tests were compared using paired t‐test showed significant difference between TVS and SIS (t‐value‐ 2.824 and p = 0.007). From the mean value observed it was concluded that SIS [mean = 0.52060] is more effective than TVS [mean = 0.44309] in detecting intrauterine pathologies. In saline infusion sonohysterography saline outlines the uterine cavity and appears to be very sensitive in detecting endometrial polyps which are often missed by doing transvaginal ultrasound alone. Thus saline infusion sonohysterography when combined with transvaginal sonography is more sensitive, accurate and simple method in detecting endometrial polyp as a cause of AUB.
How to cite this article:
K. Arthi, G. Perriyanayakialias Barani and D. Anbukumar. Role of Saline Sonohysterography in the Detection of Endometrial Polyp in AUB.
DOI: https://doi.org/10.36478/10.59218/makrjms.2022.4.62.66
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2022.4.62.66