VALIDITY OF PIPELLE ENDOMETRIAL SAMPLING IN COMPARISON WITH CONVENTIONAL DILATATION AND CURETTAGE IN PATIENTS WITH ABNORMAL UTERINE BLEEDING.

Dr Lubna Rashid

Abstract


Background : Dilatation and curettage (D&C) is the gold standard for endometrial sampling. We
compared endometrial sampling by pipelle curette with conventional dilatation and curettage (D&C) in
patients with abnormal uterine bleeding. The aim and objectives of the study was to determine the reliability of pipelle device in
acquiring an adequate & representative endometrial sample compared to D&C and to compare the result of histopathological
diagnosis of pipelle sampling with D&C.
Materials and Methods: A cross-sectional study was done at SKIMS soura , Srinagar , between 11/11/2017 to 10/11/2018. 100
cases of abnormal uterine bleeding (AUB) attending the outpatient clinic in the department of obstetrics & gynecology were
included in the study. Endometrial sampling with pipelle device was performed in 100 patients followed by formal D&C.
Results: For obtaining the endometrial sample the sensitivity of pipelle sampling was 97% and the specicity was 100% when
compared with D&C sampling. The diagnosis made by the HPE report by the sample obtained from pipelle had shown a very
high sensitivity, specicity, positive predictive value and negative predictive value, except for the diagnosis of endometrial
polyp which the pipelle sample was not able to detect.
Conclusions: The endometrial sampling using Pipelle is a safe, accurate, cost effective, outpatient procedure, which avoids
general anesthesia and has a high sensitivity and specicity for detection of endometrial hyperplasia and endometrial
malignancy.


Keywords


Pipelle Endometrial Sampling, D&C, AUB, Biopsy

Full Text:

 Subscribers Only

Refbacks

  • There are currently no refbacks.