Objective : To evaluate the diagnostic accuracy of 3-D saline infusion sonohysterography (3-D SIS) in the detection of intrauterine pathologies in infertile women with suspected uterine pathology The SIS findings were compared to the results of hysteroscopy.
Methods : This prospective comparative study was carried out on 70 infertile women from Infertility and Gynaecologic Outpatient Clinic of Benha University Maternity Hospital throughout the period between November 2014 and June 2015 to evaluate the diagnostic accuracy of (3D-SIS) compared to hysteroscopy in the evaluation of uterine cavity in infertile women .
Results: 3D-Saline infusion sonography detected 30 normal uterine cavities (46%), 16 polyps (25%), 9 submucous myomas (14%) , 5 Septate uterus (8%) , 1 unicornuate uterus (1.5%) , and 4 intrauterine adhesions (6%)
Hysteroscopy examination (which is the gold standard in the diagnosis of intrauterine abnormalities) detected 27 normal uterine cavities(42%), 17 polyps (26%), 9 submucous myomas (14%), 5 Septate uterus (8%), 1 unicornuate uterus (1.5%) , and 6 intrauterine adhesions (9%)
Conclusion: The diagnostic value of 3D-SIS is comparable to Diagnostic Hysteroscope in detecting intrauterine lesions. 3D-SIS should be included in the infertility workup even in women with a normal uterine cavity at transvaginal ultrasound or hysterosalpingography
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