Modified sonohysterography immediately after hysteroscopy in the diagnosis of submucous myoma.
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.
Cheng
Ya-Min
YM
Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taipei.
Lin
Bao-Liang
BL
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