The effectivenes of pipelle endometrial sampling in abnormal uterine bleeding

Abstract

Objective: Patient with abnormal uterine bleeding composes 20% of patients applying to our gynecology poly clinics. The most popular procedure for endometrial biopsy in these patients is cervical dilatation and curettage. Recently, more simple, easy and cheap methods are discovered. The most important one is the pipelle endometrial biopsy Material and methods: The study was designed at the Maltepe University Faculty of Medicine, Department of Gynecology polyclinics between March-December 2006.131 women with abnormal uterine bleeding, postmenopausal bleeding, increased endometrial thickness, endometrial polyps, leiomyomas, adnexial masses included to the study. We first performed pipelle endometrial sampling then biopsies were taken with dilatation and curettage. Results: The subject's ages were ranged between 28 and 79 (mean 48±9).32% of the subject were at the postmenopausal period. Premenopausal abnormal uterine bleeding was the front endication for the endometrial sample in the study (28%).9.9% of the subjects were suffering postmenopausal bleeding. Pipelle endometrial sampling was statistically significantly inadequate in the diagnosis of endometrial polyp and hyperplasia compared with dilatation and curettage. Histopathologically 26 subjects were diagnosed as endometrial polyp with D&C. Pipelle endometrial sampling diagnosed only 7 of them. Only 13 of the 21 subjects with endometrial hyperplasia were diagnosed by pipelle. Statistically, there were no difference between pipelle and D&C at subjects with atrophy and endometritis. Conclusion: Many procedures can be used for the diagnosis of anormal uterine bleedings. But the ideal method must be accurate, tolarable, cheap and easy to perform. Compared with many other procedures pipelle fits many of these features. Pipelle endometrial sampling doesn't need anesthesia and can be performed in polyclinics.