Objective: To compare the efficiency of transvaginal sonography and outpatient hysteroscopy in the diagnosis of intrauterine pathology in postmenopausal women.
Methods: Two-hundred and forty-three postmenopausal women were selected. All women had undergone outpatient hysteroscopy in the year 2006. These women were referred from the Basic Healthcare Units in Campinas, where they underwent ultrasonography for the evaluation of the endometrial cavity.
Results: The mean age of these women was 61+/-9.4 years. These women were menopausal for 11+/-8.3 years.. We observed 6.6% cases of endometrial hyperplasia and cancer. The ultrasonography had a sensitivity of 95.6%, a specificity of 7.4%, a positive predictive value of 53.3% and a negative predictive value of 60%, while the hysteroscopy had 95.7%, 83%, 82.2% and 95.9% respectively.
Conclusion: Hysteroscopy was a more accurate method for the detection of intrauterine pathology than ultrasonography.
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Article Synopsis
- The study aimed to assess how effective and cost-efficient outpatient MyoSure procedures are over the course of a year.
- It involved analyzing data from 58 patients, revealing high success and completion rates, with the procedure also being more affordable compared to those done under anesthesia in surgical settings.
- Improvements in procedure outcomes were linked to better operator experience and the use of local anesthetics, suggesting that outpatient MyoSure is a feasible and safe option for patients.
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