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Sonographically Guided Office Endometrial Sampling: Indications and Results
Anoushka Dua1, Susan Egan1, Adrian Balica1
1Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Transabdominal ultrasound-guided endometrial sampling is effective for difficult cases, including failed blind biopsies and uterine fibroids. This minimally invasive approach offers high success rates, potentially avoiding surgery.
Area of Science:
- Gynecologic Procedures
- Diagnostic Imaging
Background:
- Endometrial sampling is crucial for diagnosing uterine conditions.
- Traditional blind biopsy methods can be challenging in certain patient populations.
Purpose of the Study:
- To identify clinical indications for transabdominal ultrasound (US)-guided endometrial sampling.
- To evaluate the success rates and outcomes of this technique in an academic setting.
Main Methods:
- Retrospective review of electronic medical records for patients undergoing transabdominal US-guided endometrial sampling (January 2011-June 2017).
- Data collected included patient demographics, indications for sampling, US findings, and pathology results.
Main Results:
- 113 patients underwent transabdominal US-guided endometrial sampling.
- High success rates were observed for indications such as failed blind biopsy (83%), fibroids (97%), uterine anomalies (86%), and targeted sampling (83%).
- Overall success rate for US-guided sampling was 84%.
Conclusions:
- Transabdominal US-guided endometrial sampling is a viable option for patients with failed blind attempts, fibroids, uterine anomalies, or those requiring targeted sampling.
- This US-guided approach may be considered as an alternative to surgical interventions.
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