Purpose. We assessed the role of preoperative sonohysterography in the diag
nosis of intrauterine synechiae.
Methods. Nineteen patients with a suspected diagnosis of intrauterine adhes
ion underwent hysterosalpingography, transvaginal sonography, and sonohyste
rography performed in the consultation room. The patients were then treated
by hysteroscopy under laparoscopic or ultrasound guidance.
Results. Transvaginal sonography showed an abnormal uterine cavity in only
10 cases. The sensitivities of sonohysterography and hysterosalpingography
in the diagnosis of intrauterine adhesions were both 100%. Sonohysterograph
y showed complete correlation with hysterosalpingography.
Conclusions. We recommend routine sonohysterography after transvaginal sono
graphy in cases of suspected intrauterine synechiae. (C) 1999 John Wiley &
Sons, Inc.