Clinical Investigation

Hysteroscopy results in patients with preoperative diagnosis of endometrial polyp

  • Eser S. Özyürek
  • Ismail Tanrikulu
  • Tülay Kaya
  • Gürkan Uncu

Turk J Obstet Gynecol 2006;3(3):187-190

OBJECTIVE: The retrospective evaluation of hysteroscopy results in cases primarily diagnosed as endometrial polyps. Design: Retrospective analysis of clinical data Setting: University hospital clinic. Patients and METHOD: 79 patients who have applied to the Uludag University Obgyn Department Ambulatory-clinic, have been diagnosed as endometrial polyps and hysteroscopically operated were retrospectively analysed. Diagnosis was performed with transvaginal-ultrasonography (TVUSG) and/or saline-infusion-sonography (SIS). Space occupying lesions were hysteroscopicallyresected and sent for pathological examination. If no lesions were observed, endometrial sampling was performed and operation terminated. Hysteroscopic findings, histopathological results, diagnostic methods used, and symptoms the patients were presented with were analysed. Statistical analysis was performed with the SPSS 13.0 package and Microsoft Excel 2003. Main Outcome measures: Comparison of presumptive diagnosis with hysteroscopic and histopathological findings. RESULTS: Specimen results were: endometrial polyps: 56(70,9%); submucous myoma: 8(10,1%); endometrial hyperplasia: 1(1,3%); asynchronic endometrium: 14(17,7%). The false positive rate of the primary diagnosis was 5(6,4%) and of hysteroscopic examination was 10(13,5%). Positive predictive values were: 79,5% for TVUSG; 83,3% for TVUSG+SIS; and 86,4% for hysteroscopy. CONCLUSION: Symptoms caesed by endometrial polyps are various. Supplementing TVUSG with SIS increases diagnostic accuracy, almost as well as direct visualizing. Neither the size, location or the type of symptoms can discriminate polyps from other space occupying lesions of the endometrial cavity.

Keywords: endometrial polyps, hysteroscopy, saline-infusion-sonography, transvaginal-ultrasonography