Anter, M., Gad, M., Fahmy, E., Al Halaby, A. (2021). Endovaginal Ultrasound versus Hysterosalpingography in Evaluation of Cesarean Scar. The Egyptian Journal of Hospital Medicine, 82(4), 773-777. doi: 10.21608/ejhm.2021.154618
Mohamed E Anter; Mohamed S. Gad; Emily M. Fahmy; Alla Aldeen A. Al Halaby. "Endovaginal Ultrasound versus Hysterosalpingography in Evaluation of Cesarean Scar". The Egyptian Journal of Hospital Medicine, 82, 4, 2021, 773-777. doi: 10.21608/ejhm.2021.154618
Anter, M., Gad, M., Fahmy, E., Al Halaby, A. (2021). 'Endovaginal Ultrasound versus Hysterosalpingography in Evaluation of Cesarean Scar', The Egyptian Journal of Hospital Medicine, 82(4), pp. 773-777. doi: 10.21608/ejhm.2021.154618
Anter, M., Gad, M., Fahmy, E., Al Halaby, A. Endovaginal Ultrasound versus Hysterosalpingography in Evaluation of Cesarean Scar. The Egyptian Journal of Hospital Medicine, 2021; 82(4): 773-777. doi: 10.21608/ejhm.2021.154618
Endovaginal Ultrasound versus Hysterosalpingography in Evaluation of Cesarean Scar
Obstetrics and Gynecology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Abstract
Background: Cesarean section (CS) is one of the most common surgical procedures in women. A recent study documented that Egypt ranked 3rd among world countries with an estimated rate of CS of 51.8%. Objective: We aimed to evaluate uterine scar after cesarean section (CS) by transvaginal ultrasound (TVS) versus hysterosalpingogram (HSG). Patientandmethods: This cross-sectional studywas conducted on 38 patients after obtaining their approval to evaluate CS scar 3 months after delivery using TVS compared to HSG. The study was conducted in Obstetrics and Gynecology Department, Menoufia University in the period between January 2019 and January 2020. Results: Uterine scar defect was identified in 21 cases by HSG (55.3%), while TVS was able to identify it in only 13 cases (34.2%). Compared to HSG, transvaginal ultrasound had sensitivity and specificity of 61.9 and 100% respectively in detecting scar defects, with an accuracy of 78.94%, Conclusion: Along with increased radiological expertise expected with time, TVS will be more comparable to HSG and appears to be a promising tool in evaluation cesarean scar defect as it has significant agreement with HSG.
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