Role of Hysteroscopy and Laparoscopy in Evaluation of Abnormal Uterine Bleeding
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Date
2004-01
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Abstract
Abnormal uterine bleeding poses a real challenge for the gynecologists Dilatation and curettage
has been the gold standard for differentiating benign from malignant endometrium. Hysteroscopy
and laparoscopy are the recent addition to the armamentarium of investigations for abnormal
uterine bleeding. This study was done to evaluate the role of hysteroscopy and laparoscopy in
75 women with abnormal uterine bleeding. Hysteroscopy findings were compared with
histopathology in the diagnosis and etiology of abnormal uterine bleeding. Majority of the patients
presented with menorrhagia (40%) and metrorrhagia (20%). Hysteroscopy showed abnormality
detection rate of 66% as compared to 26.6% with traditional curettage. Diagnostic accuracy of
hysteroscopy was higher in patients with polyps and myoma. Hysteroscopy allows the exclusion
of intra uterine pathology with greater precision. Hysteroscopy is superior to curettage, though
not a substitute for tissue diagnosis. Laparoscopy was performed in 50 cases including 16 of coexistent
infertility, 25 cases with normal hysteroscopy findings and in 9 patients symptoms and
signs indicative of pelvic inflammatory diseases were present. An abnormaliity was detected in
40% of these cases in the form of adhesions, leiomyomas, ovarian cysts, misplaced IUCDs and
endometriosis. Thus laparoscopy can be complimentary to hysteroscopy in evaluation and
management of patients with abnormal uterine bleeding.
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Keywords
Hysteroscopy, Laparoscopy, Abnormal Uterine Bleeding
Citation
Jyotsana, Manhas Kamlesh, Sharma Sudha. Role of Hysteroscopy and Laparoscopy in Evaluation of Abnormal Uterine Bleeding. JK Science Journal of Medical Education and Research. 2004 Jan-Mar;6(1): 23-27