Sonohysterography: a prospective survey of results and complications in 81 patients

Ptrpose: To evaluate the sonohysterography (SHG) for the diagnosis of intrauterine abnormalities and describe complications and failure rate. Study design: A prospective survey on 81 patients, (44 patients with menometrorrhagia, 30 with postmenopausal bleeding and 7 with infertility) was conducted, Histopathology and clinical survey, if sonohysterography was normal, were the gold standards. Results: Pathology has been performed in 55 cases. There were four failures (cervical stenosis). one severe complication (endometritis), one pelvic pain. Sensitivity and specificity of sonography were 56 and 83% for sonohysterography 88 and 98% and for hysteroscopy 78 and 97%. Sonohysterography was accurate for the diagnosis of the submucous myoma component. Conclusion: Sonohysterography is available in uterine pathology. easy. safe and cheap. but sonographists and patients should be informed of the little risks of such examination technique. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.