Journal of Ultrasound in Medicine, Vol 15, Issue 4 285-288, Copyright © 1996 by American Institute of Ultrasound in Medicine
Sensitivity and specificity of sonohysterography for the evaluation of the uterine cavity in perimenopausal patients
I. Wolman, A. J. Jaffa, J. Hartoov, A. Bar-Am and M. P. David
Department of Obstetrics and Gynecology B, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Sonohysterography is a technique for evaluating the uterine cavity by the
instillation of sterile saline solution through an 8 Fr Foley catheter,
before performing an ultrasonographic evaluation. The sensitivity and
specificity of the procedure were evaluated in comparison to hysteroscopy.
In a prospective double-blind study, 47 postmenopausal patients were
evaluated first by sonohysterography, and within 1 week by hysteroscopy.
After comparing the hysteroscopic and sonohysterographic results,
sonohysterography showed a sensitivity of 86% and specificity of 100%.
Sonohysterography is an accurate mode of diagnosis for pathologic
intrauterine processes in perimenopausal patients.