title: Diagnostic accuracy of sonohysterography vs hysteroscopy in benign uterine endocavitary findings.
abstract: OBJECTIVE
  To compare diagnostic accuracy of sonohysterography vs hysteroscopy in patients with benign uterine endocavitary findings.
  
  
  METHODS
  This retrospective study evaluated 202 patients submitted to sonohysterography after transvaginal ultrasound examination suspicious for uterine endocavitary findings. Cytological sample was taken and analyzed from the fluid used to distend the uterine cavity. Of 202 patients enrolled for this study, 86 patients underwent gynaecological surgery, of whom 77 were treated with operative hysteroscopy and 9 with other gynaecological surgical techniques. Statistical analysis was performed to evaluate diagnostic agreement between sonohysterography vs hysteroscopy and cytology vs histology.
  
  
  RESULTS
  Diagnostic concordance between sonohysterography and hysteroscopy was significant (k value 0.87). The correlation between cytological and histological findings had a moderate level of concordance (k value 0.49).
  
  
  CONCLUSIONS
  Sonohysterography provides a diagnostic accuracy as well as hysteroscopy, therefore, it could be considered an alternative procedure in the diagnosis of benign uterine endocavitary findings.
authors.affiliation: Department of Gynecological, Obstetric and Urological Sciences, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy. angelicacatalano87@hotmail.it.
authors.forename: M
authors.initials: M
authors.lastname: Zinna
authors.forename: M
authors.initials: M
authors.lastname: Gentile
authors.forename: F
authors.initials: F
authors.lastname: Torcia
authors.forename: P
authors.initials: P
authors.lastname: Bianchi
authors.forename: G
authors.initials: G
authors.lastname: Cozza
authors.forename: R
authors.initials: R
authors.lastname: Marziani
authors.forename: G N
authors.initials: GN
authors.lastname: Milazzo
authors.forename: A
authors.initials: A
authors.lastname: Catalano
authors.forename: M
authors.initials: M
authors.lastname: Di Properzio
authors.forename: F
authors.initials: F
authors.lastname: Manzara
authors.forename: M
authors.initials: M
authors.lastname: Schimberni
authors.forename: D
authors.initials: D
authors.lastname: Caserta
authors.forename: A
authors.initials: A
authors.lastname: Frega
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004564:Electrocoagulation / Q000379:methods* / Q000592:standards*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods / Q000592:standards; D015907:Hysteroscopy / Q000379:methods* / Q000592:standards*; D008875:Middle Aged; D011247:Pregnancy; D012189:Retrospective Studies; D014599:Uterus / Q000601:surgery*