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Document Type

Original Article

Abstract

Background: Transvaginal ultrasonography in four dimensions (TVS 4D) is a novel imaging method. It can visualise surfaces in three dimensions and concurrently register all three imaging planes. Aim and objectives: to to correlate the accuracy of Transvaginal Four-dimensional ultrasound (TV4D US) versus Hystroscopy in assessment of abnormal uterine cavity in infertile women. Patients and methods: This study was a prospective, Comparative, observational study that involved 100 infertile females whom underwent hysterosalpingography and/or conventional vaginal ultrasonography to diagnose their uterine intracavitary lesion or abnormality was conducted at Al-Azhar University Hospitals. Results; regarding US, the most prevalent finding was polyp (38%) followed by myoma (21%). Meanwhile, there was 16% of the patients were normal US. Regarding hysteroscopy, only 4 patients were normal while 42% were polyp and 23% were myoma. Conclusion: The four-dimensional transvaginal ultrasonography can be utilised to diagnose uterine focal lesions with outcomes in comparison with hysteroscopy. The greatest benefit of hysteroscopy is that it allows for surgical intervention in the same location, making it the gold standard diagnostic and therapeutic technique for uterine anomalies (bicornuate, septate, arcuate, and polyp). Only a diagnostic tool, 4D ultrasonography is superior to hysteroscopy in several lesions, such as (subserous and intramural fibroid). gives more benefit in more precise measurement of the size, consistency, and vascularity, which is not always visible in hysteroscopy. Intrauterine adhesions and endometrial polyps, however, are harder to diagnose

Keywords

Four Dimensional Transvaginal Sonography; Hysteroscopy; Abnormal Uterine Cavity; Infertile

Subject Area

Obstetrics and Gynecology

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