Diagnostic Role of Hysteroscopy In Women With Abnormal Uterine Bleeding: A Single-Center Retrospective Study

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dc.contributor.authorGunkaya, Samet Osman
dc.contributor.authorTekelioğlu, Meltem
dc.contributor.authorKarataş, Suat
dc.contributor.authorSahin, Fatih
dc.contributor.authorKeskin, İlkhan
dc.contributor.authorBestel, Melih
dc.contributor.authorTug, Niyazi
dc.date.accessioned2025-03-26T16:10:04Z
dc.date.available2025-03-26T16:10:04Z
dc.date.issued2025
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractHysteroscopy is a minimally invasive technique that has advantages over blind curettage, such as direct visualization of the intrauterine cavity, biopsy of the suspicious area, and simultaneous treatment of benign intracavitary lesions. The stud y aims to evaluate the diagnostic role of hysteroscopy in endometrial and focal intracavitary lesions. This retrospective study was conducted in the department of obstetrics and gynecology of a tertiary center between January 2018 and July 2022. Diagnostic hysteroscopy was performed on women with abnormal uterine bleeding, and lesions seen during hysteroscopy were noted and excised using a resectoscope. Uterine sampling with blind curettage was applied to all patients. The resected lesions and uterus samples were evaluated histopathologically. Diagnostic accuracy of hysteroscopy was higher than 90% in each group classified according to morphology of endometrium as normal, atrophic and hyperplastic. Sensitivity, specificity and diagnostic accuracy were higher than 90% for focal intracavitary pathologies. Sensitivity for endometrial hyperplasia and cancer were 80% and 50%, respectively. Hysteroscopy is exceedingly viable for distinguishing intracavitary pathologies such as polyps, myomas and foreign bodies in ladies with abnormal uterine bleeding. However, for the diagnosis of endometrial hyperplasia and cancer, a hysteroscopy-guided biopsy with uterine curettage is needed to be combined with hysteroscopy. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
dc.identifier.doi10.5505/ejm.2025.45538
dc.identifier.endpage120
dc.identifier.issn1301-0883
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85216956033
dc.identifier.scopusqualityQ4
dc.identifier.startpage114
dc.identifier.urihttps://doi.org/10.5505/ejm.2025.45538
dc.identifier.urihttps://hdl.handle.net/20.500.14704/817
dc.identifier.volume30
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherYuzuncu Yil Universitesi Tip Fakultesi
dc.relation.ispartofEastern Journal of Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250326
dc.subjectAbnormal uterine bleeding
dc.subjectEndometrium
dc.subjectHysteroscopy
dc.subjectUterine curettage
dc.subjectUterine intracavitary pathology
dc.titleDiagnostic Role of Hysteroscopy In Women With Abnormal Uterine Bleeding: A Single-Center Retrospective Study
dc.typeArticle

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