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Transvaginal sonohysterographic evaluation of intrauterine adhesions
B Salle1, P Gaucherand, P de Saint Hilaire
1Department of Gynaecology, Obstetrics, Infertility and Ultrasound, Hôpital de la Croix Rousse, Lyon, France.
Purpose:
We assessed the role of preoperative sonohysterography in the diagnosis of intrauterine synechiae.
Methods:
Nineteen patients with a suspected diagnosis of intrauterine adhesion underwent hysterosalpingography, transvaginal sonography, and sonohysterography performed in the consultation room. The patients were then treated by hysteroscopy under laparoscopic or ultrasound guidance.
Results:
Transvaginal sonography showed an abnormal uterine cavity in only 10 cases. The sensitivities of sonohysterography and hysterosalpingography in the diagnosis of intrauterine adhesions were both 100%. Sonohysterography showed complete correlation with hysterosalpingography.
Conclusions:
We recommend routine sonohysterography after transvaginal sonography in cases of suspected intrauterine synechiae.