title: Pre-operative ultrasonographic evaluation of nongravid, enlarged uteri--correlation with bimanual examination.
abstract: OBJECTIVE
  To correlate the size of the nongravid uterus measured by ultrasound and bimanual examination before hysterectomy, with the actual size of the specimens.
  
  
  METHODS
  Uterine size of 49 consecutive patients, who underwent elective hysterectomy, was assessed by bimanual pelvic examination, preoperative ultrasonographic evaluation and actual postoperative size.
  
  
  RESULTS
  All preoperative ultrasonographic uterine dimensions significantly correlated with the corresponding actual dimensions of the uterine specimens. Furthermore, ultrasonographic uterine length had the best correlation with uterine size estimation by bimanual examination. A formula was established in an attempt to calculate clinical uterine size by gestational week, using preoperative ultrasonographic dimensions.
  
  
  CONCLUSIONS
  By using the aforementioned formula, ultrasonographic uterine dimensions can be extrapolated to uterine size in terms of gestational week, and therefore, be applicable to traditional clinical practice.
authors.affiliation: Department of Obstetrics and Gynecology, Rabin Medical Center, Petah Tikva, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Dekel
authors.forename: J
authors.initials: J
authors.lastname: Farhi
authors.forename: T
authors.initials: T
authors.lastname: Levy
authors.forename: R
authors.initials: R
authors.lastname: Orvieto
authors.forename: Y
authors.initials: Y
authors.lastname: Shalev
authors.forename: D
authors.initials: D
authors.lastname: Dicker
authors.forename: I
authors.initials: I
authors.lastname: Bar-Hava
authors.forename: Z
authors.initials: Z
authors.lastname: Ben-Rafael
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery; D008595:Menorrhagia / Q000473:pathology / Q000601:surgery; D008796:Metrorrhagia / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D010808:Physical Examination; D011300:Preoperative Care; D012044:Regression Analysis; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000000981:diagnostic imaging* / Q000473:pathology*