Vaginoscopic hysteroscopy and transvaginal sonography in the evaluation of patients with abnormal uterine bleeding.
OBJECTIVE
To compare accuracy of vaginoscopic hysteroscopy, a new method of outpatient hysteroscopy, with that of transvaginal sonography in diagnosing intracavitary pathology in women with abnormal uterine bleeding.


METHODS
Retrospective comparative study (Canadian Task Force classification II-2).


METHODS
Department of gynecology in a tertiary care university hospital.


METHODS
Three hundred ninety-seven consecutive patients.


METHODS
Vaginoscopic hysteroscopy, transvaginal sonography, and histologic evaluation of endometrium.


RESULTS
Findings at hysteroscopy and sonography were compared with histopathologic results, considered the gold standard diagnosis. Sensitivity, specificity, and positive and negative likelihood ratios were 92%, 95%, 18.4, and 0.08 for vaginoscopic hysteroscopy and 67%, 87%, 5.15, and 0.38 for transvaginal sonography, respectively.


CONCLUSIONS
Vaginoscopic hysteroscopy is quick and well tolerated, and more accurate in detecting intracavitary uterine pathology than transvaginal sonography. More research is required to determine its place in patients with abnormal uterine bleeding, especially premenopausal women.
Paschopoulos
M
M
Department of Obstetrics and Gynecology, Opl. Poutetsi 2, 45332 Ioannina University Hospital, Greece.
Lolis
E D
ED
Alamanos
Y
Y
Koliopoulos
G
G
Paraskevaidis
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D016001:Confidence Intervals; D019160:Endosonography / Q000379:methods*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008796:Metrorrhagia / Q000000981:diagnostic imaging* / Q000473:pathology*; D008875:Middle Aged; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D014592:Uterine Hemorrhage / Q000175:diagnosis; D014621:Vagina