title: [Prospective study of the contribution of hydrosonography in the exploration of the uterine cavity].
abstract: BACKGROUND
  Recent developments in ultrasound have led to a new exploration technique: hydrosonography.
  
  
  OBJECTIVE
  To evaluate diagnostic performance of hysterosonography in the assessment of the uterine cavity, by comparing it with standard transvaginal ultrasound and particularly with diagnostic hysteroscopy.
  
  
  METHODS
  This is a prospective study over a period of nine months from 1st January to 30 September 2009. Transvaginal ultrasound was performed for all patients followed by hydrosonography then by diagnostic hysteroscopy.
  
  
  RESULTS
  Sixty-two patients underwent three examinations. The mean age of our patients was 42.2 years. Bleeding disorders of the menstrual cycle were the most common reasons for seeking. Referring to the pathological examination, hysteroscopy is the most accurate technique in the diagnosis of endometrial hyperplasia and intracavitary masses, followed by hydrosonography then by transvaginal ultrasound. The concordance between hydrosonography and hysteroscopy in the diagnosis of submucosal fibroids and hyperplasia of the endometrium is very good (K> 0.8).
  
  
  CONCLUSIONS
  The hysterosonography seems a relevant exam, allowing a complete assessment of the uterine cavity.
authors.affiliation: Centre de maternite et de neonatologie, Tunis, Tunisie.
authors.forename: Monia
authors.initials: M
authors.lastname: Malek-Mellouli
authors.forename: Fethi
authors.initials: F
authors.lastname: Ben Amara
authors.forename: Neji
authors.initials: N
authors.lastname: Khaled
authors.forename: Ramzi
authors.initials: R
authors.lastname: Arfaoui
authors.forename: Majid
authors.initials: M
authors.lastname: M'barek
authors.forename: Atef
authors.initials: A
authors.lastname: Youssef
authors.forename: Manel
authors.initials: M
authors.lastname: Mbarki
authors.forename: H
authors.initials: H
authors.lastname: Reziga
mesh_terms: D000328:Adult; D000368:Aged; D003287:Contrast Media / Q000008:administration & dosage; D019160:Endosonography / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D014591:Uterine Diseases / Q000175:diagnosis; D014599:Uterus / Q000000981:diagnostic imaging*; D055815:Young Adult
chemical_list: D003287:Contrast Media