title: Does the addition of saline infusion sonohysterography to transvaginal ultrasonography prevent unnecessary hysteroscopy in premenopausal women with abnormal uterine bleeding?
abstract: This observational case series in 65 premenopausal women with abnormal uterine bleeding evaluated whether transvaginal ultrasound followed by saline infusion sonohysterography (SIS) prevented unnecessary hysteroscopy. Although SIS indicated that hysteroscopy was unnecessary in eight women, this benefit was offset by the invasive nature of the scan, the number of endometrial abnormalities falsely detected by SIS and the cost of the additional investigation.
authors.affiliation: Department of Obstetrics and Gynaecology, Christchurch Women's Hospital, Christchurch, New Zealand.
authors.forename: John
authors.initials: J
authors.lastname: Short
authors.affiliation: Department of Obstetrics and Gynaecology, Christchurch Women's Hospital, Christchurch, New Zealand.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Sharp
authors.affiliation: The Canterbury Initiative, Canterbury District Health Board, Christchurch, New Zealand.
authors.forename: Nikki
authors.initials: N
authors.lastname: Elliot
authors.affiliation: Department of Radiology, Christchurch Hospital, Christchurch, New Zealand.
authors.forename: Rachael
authors.initials: R
authors.lastname: McEwing
authors.affiliation: The Canterbury Initiative, Canterbury District Health Board, Christchurch, New Zealand.
authors.forename: Graham
authors.initials: G
authors.lastname: McGeoch
authors.affiliation: The Canterbury Initiative, Canterbury District Health Board, Christchurch, New Zealand.
authors.forename: Brett
authors.identifier: http://orcid.org/0000-0002-6245-5292
authors.initials: B
authors.lastname: Shand
authors.affiliation: The Canterbury Initiative, Canterbury District Health Board, Christchurch, New Zealand.|The Canterbury Initiative and Community Referred Radiology, Canterbury District Health Board, Christchurch, New Zealand.
authors.forename: Kieran
authors.initials: K
authors.lastname: Holland
mesh_terms: D000328:Adult; D019160:Endosonography / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D011237:Predictive Value of Tests; D012965:Sodium Chloride / Q000008:administration & dosage; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging*; D014599:Uterus / Q000000981:diagnostic imaging*; D014621:Vagina
chemical_list: D012965:Sodium Chloride
keywords: hysteroscopy; premenopausal period; saline infusion sonohysterography; transvaginal ultrasonography; uterine bleeding