Transvaginal sonohysterographic evaluation of intrauterine adhesions

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.