Abstract
Purpose: For most of the pathologies that involve the female genital tract, pelvic sonography is an easily accessible, cost-effective tool and should be considered as the initial study of choice. However, its effectiveness depends on the operator ability and their experience demonstrated in its interpretation. A few studies exist that demonstrate the sensitivity of sonohysterography as a diagnostic method for specic uterine pathologies. With the above, our research question comes up: what is the sensitivity of sonohysterography for the diagnosis of benign uterine pathology? Methods: A prospective, cross-sectional, observational study of diagnostic sensitivity was carried out in patients who came to the ofce for abnormal uterine bleeding or fertility problems and who required imaging conrmation for this pathology. Sonohysterography and hysteroscopy with biopsy for histopathology were performed in all cases. A total of 42 womenResults: were studied, with an average age of 36 years and a BMI of 24 ± 3 kg / mt2, who's the most frequent reason for consultation was infertility (71%). The sensitivity of sonohysterography for the polyposis and uterine broids diagnosis was 93% and 85%, respectively. We propose the possibility that sonohysterography can be used as an alternative procedure toConclusion: hysteroscopy, leaving the latter as a conrmatory method. This is a method that is easy to perform, less invasive, less costly, and is well-tolerated. Therefore, diagnostic hysteroscopy could be limited to an inconclusive Sono-HSG, raising the possibility of replacing 89% of outpatient diagnostic hysteroscopies.
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