Sonohysterography: a prospective survey of results and complications in 81 patients.
OBJECTIVE
To evaluate the sonohysterography (SHG) for the diagnosis of intrauterine abnormalities and describe complications and failure rate.


METHODS
A prospective survey on 81 patients, (44 patients with menometrorrhagia, 30 with postmenopausal bleeding and 7 with infertility) was conducted. Histopathology and clinical survey, if sonohysterography was normal, were the gold standards.


RESULTS
Pathology has been performed in 55 cases. There were four failures (cervical stenosis), one severe complication (endometritis), one pelvic pain. Sensitivity and specificity of sonography were 56 and 83%; for sonohysterography 88 and 98%; and for hysteroscopy 78 and 97%. Sonohysterography was accurate for the diagnosis of the submucous myoma component.


CONCLUSIONS
Sonohysterography is available in uterine pathology, easy, safe and cheap, but sonographists and patients should be informed of the little risks of such examination technique.
Bonnamy
Laurent
L
Department of Obstetrics, Gynaecology Fetal and Reproductive Medicine, University Hospital of Tours, Hôpital Bretonneau, 2 bis boulevard Tonnellé, 37044 Tours Cedex 1, France.
Marret
Henri
H
Perrotin
Franck
F
Body
Gilles
G
Berger
Christian
C
Lansac
Jacques
J
D000328:Adult; D000368:Aged; D004714:Endometrial Hyperplasia / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008593:Menopause; D008796:Metrorrhagia / Q000175:diagnosis / Q000000981:diagnostic imaging; D008875:Middle Aged; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000379:methods*; D014591:Uterine Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging