title: Modified sonohysterography immediately after hysteroscopy in the diagnosis of submucous myoma.
abstract: OBJECTIVE
  To report a new, convenient, inexpensive, office-based examination to evaluate submucous myomas before hysteroscopic myomectomy.
  
  
  METHODS
  Retrospective analysis (Canadian Task Force classification II-2).
  
  
  METHODS
  University-affiliated teaching hospital.
  
  
  METHODS
  One hundred seventy-nine consecutive women.
  
  
  METHODS
  Diagnostic flexible hysteroscopy and transvaginal ultrasonography.
  
  
  RESULTS
  Transvaginal ultrasonography was performed immediately after hysteroscopy. The size and depth of invasion of submucous myomas were clearly identified by retained fluid after hysteroscopy. Locations of myomas were as follows: anterior wall, 37 (20.7%); posterior wall, 52 (29.1%); lateral wall, 40 (22.3%); and fundus, 31 (17.3%); and multiple myomas, 19 (10.6%). Myomas with stalk were found in 101 patients (56.4%) and without stalk in 78 (43.6%). The mean myoma diameter was 2.95 +/- 2.12 cm and mean weight was 30.2 +/- 33.6 g.
  
  
  CONCLUSIONS
  It is important to obtain details as to size and depth of invasion of submucous myomas before hysteroscopic myomectomy. Sonohysterography immediately after hysteroscopy is superior to traditional diagnostic methods.
authors.affiliation: Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taipei.
authors.forename: Ya-Min
authors.initials: YM
authors.lastname: Cheng
authors.forename: Bao-Liang
authors.initials: BL
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019160:Endosonography; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods*; D015907:Hysteroscopy; D007889:Leiomyoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014599:Uterus