[Ultrasonographic hysteroscopy—new approach for the investigation of the uterine cavity in women with postmenopausal bleeding]

PURPOSE: To assess the value of Transvaginal sonohysterography (SHG) in the detection of endometrial pathology in patients with postmenopausal uterine bleeding, without visualization of the endometrial on the Transvaginal ultrasonography (TVS).

STUDY DESIGN: Sixty postmenopausal patients with abnormal uterine bleeding, without sonographic visualization of the endometrium on the Transvaginal ultrasonography underwent sonohysterography, diagnostic hysteroscopy and curettage.

RESULTS: After comparing the hysteroscopic and sonohysterographic results, Sonohysterography showed a sensitivity of 100%, specificity of 94, accuracy of 95%, positive predictive value of 85% and negative predictive value of 100%. Hysteroscopy showed a sensitivity of 85%, specificity of 100%, accuracy of 95%, positive predictive value of 100% and negative predictive value of 94%.

CONCLUSION: Transvaginal Sonohysterography is an easy, save and the most accurate technique for detecting endometrial pathology and endoluminal masses.