J Clin Obstet Gynecol Infertil | Volume 3, Issue 1 | Research Article | Open Access
Safaa A Ibrahim1* and Mohamed A Ibrahim2
1Department of Gynecology and Obstetrics, Zagazig University, Egypt
2Department of Radiology, Zagazig University, Egypt
*Correspondance to: Safaa A Ibrahim
Fulltext PDFWomen with abnormal uterine bleeding need examination for diagnosis of different diseases particularly endometrial carcinoma. Office endometrial sampling with pipelle combined with vaginal ultrasonography is easier, cheaper, non invasive. Objectives of the study were to investigate the use of both transvaginal ultrasonography and office endometrial sampling for the diagnosis of endometrial disease in women with vaginal bleeding.
Methods: The 480 women presenting with abnormal uterine bleeding were enrolled in the study. Trans Vaginal ultrasonography was done. Endometrial sampling was done using endometrial biopsy pipelle, as office procedure, in the out patients clinic. The sample was sent for Histopathological Examination (HPE), the accuracy of vaginal ultrasound and pipelle was measured and compared the gold stander pathology of hysterectomy where this was indicated.
Result: We had no procedure failure or complications the study revealed sample adequacy of 98.2%. The inadequate samples were from postmenopausal ladies with atrophic endometrium. Endometrial carcinoma could be picked up all cases. The procedure proved to be simple, acceptable, accurate, and cost effective. The results from this study when compared with other population based studies, showed a higher proportion of successful samplings. Conclusions: This study showed that by combined use of Trans Vaginal Sonography (TVS) and office endometrial pipelle sampling, sufficient diagnostic information was obtained for women with abnormal uterine bleeding, obviating the need for more invasive diagnostic procedures.
Endometrial sampling; Trans vaginal sonography; Vaginal bleeding
Ibrahim SA, Ibrahim MA. Study the Accuracy of Transvaginal Ultrasound Combined with Endometrial Office Biopsy (Pipelle) as a Predictor of Final Pathology in Patients with Abnormal Uterine Bleeding. J Clin Obstet Gynecol Infertil. 2019; 3(1): 1038.