Bingol, B.Gunenc, Z.Gedikbasi, A.Guner, H.Tasdemir, S.Tiras, B.2024-07-122024-07-1220110144-361510.3109/01443615.2010.5322462-s2.0-79551550374https://dx.doi.org/10.3109/01443615.2010.532246https://hdl.handle.net/20.500.12415/8244We aimed to compare the accuracy of transvaginal sonography (TVS), saline infusion sonohysterography (SIS) and hysteroscopy (HS) for uterine pathologies among infertile women. A total of 346 patients were selected for operative hysteroscopy, following SIS after TVS. SIS was performed with a Cook Soft 500 IVF catheter. Sensitivity, specificity, positive and negative predictive values (PPV, NPV) were calculated to compare the accuracy of TVS, SIS and hysteroscopy for uterine abnormalities. SIS showed a sensitivity of 87%, specificity of 100% and PPV of 100% for endometrial hyperplasia, and a sensitivity and NPV of 100% for polypoid lesions. For submucosal myoma SIS showed a sensitivity of 99% with PPV of 96%. Hysteroscopy had a sensitivity, specificity, PPV and NPV of 98%, 83%, 96% and 91%, respectively for overall uterine pathologies. Finally, SIS seems to be superior to TVS, for uterine pathologies, with respect to hysteroscopy as the gold standard.eninfo:eu-repo/semantics/closedAccessAccuracyfertility controlHSGhysteroscopySISTVSArticle58121280995Q35431WOS:000286898700012Q4