Comparison of Endorette and dilatation and curettage for sampling of the endometrium in women with postmenopausal bleeding
Epstein, Elisabeth LU ; Skoog, Lennart and Valentin, Lil LU
(2001)
In Acta Obstetricia et Gynecologica Scandinavica
80(10).
p.959-964
- Abstract
- MAIN QUESTION: To compare the diagnostic properties of Endorette and D&C in women with postmenopausal bleeding, to relate the properties to endometrial thickness as measured by ultrasound, and to assess the women's experiences of the two methods. METHODS: In a prospective study, 133 consecutive women with postmenopausal bleeding were examined with transvaginal ultrasound. After measuring the endometrial thickness, Endorette sampling was performed without anesthesia. Dilatation and curettage (D&C) was carried out under general anesthesia within six weeks. After completion of each sampling procedure the women filled in a questionnaire regarding their experience of the sampling. RESULTS: Endorette sampling failed in 16% (21/133) of... (More)
- MAIN QUESTION: To compare the diagnostic properties of Endorette and D&C in women with postmenopausal bleeding, to relate the properties to endometrial thickness as measured by ultrasound, and to assess the women's experiences of the two methods. METHODS: In a prospective study, 133 consecutive women with postmenopausal bleeding were examined with transvaginal ultrasound. After measuring the endometrial thickness, Endorette sampling was performed without anesthesia. Dilatation and curettage (D&C) was carried out under general anesthesia within six weeks. After completion of each sampling procedure the women filled in a questionnaire regarding their experience of the sampling. RESULTS: Endorette sampling failed in 16% (21/133) of the women. More than half (56%) of the women experienced moderate or strong pain during Endorette sampling, and the doctor underestimated the pain in 62% of the women. Endorette failed to diagnose two of seven (29%) endometrial cancers found at D&C. In one of these two cases, the examiner suspected that the Endorette device had not reached the uterine fundus. In women with endometrium < 7 mm, Endorette and D&C showed similar results with regard to obtaining a sufficient endometrial sample and to distinguishing normal endometrium, benign pathological endometrium and malignancy. In women with endometrium > or =7 mm, Endorette yielded insufficient samples significantly more often than D&C (23% vs 6%, p=0.02; the McNemar test) and missed all polyps and most (77%) hyperplasias diagnosed by D&C. CONCLUSION: Endorette and D&C have similar diagnostic properties in women with postmenopausal bleeding and endometrium < 7 mm. D&C is superior to Endorette in women with endometrium > or =7 mm. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1120568
- author
- Epstein, Elisabeth
LU
; Skoog, Lennart
and Valentin, Lil
LU
- organization
- publishing date
- 2001
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- curettage, endometrial sampling, postmenopausal bleeding, ultrasound, uterine malignancy
- in
- Acta Obstetricia et Gynecologica Scandinavica
- volume
- 80
- issue
- 10
- pages
- 959 - 964
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:11580743
- scopus:0034740621
- ISSN
- 1600-0412
- DOI
- 10.1034/j.1600-0412.2001.801015.x
- language
- English
- LU publication?
- yes
- id
- b363b5e5-4a61-4871-8352-ec96844796de (old id 1120568)
- date added to LUP
- 2016-04-01 15:36:11
- date last changed
- 2022-01-28 06:11:02
@article{b363b5e5-4a61-4871-8352-ec96844796de,
abstract = {{MAIN QUESTION: To compare the diagnostic properties of Endorette and D&C in women with postmenopausal bleeding, to relate the properties to endometrial thickness as measured by ultrasound, and to assess the women's experiences of the two methods. METHODS: In a prospective study, 133 consecutive women with postmenopausal bleeding were examined with transvaginal ultrasound. After measuring the endometrial thickness, Endorette sampling was performed without anesthesia. Dilatation and curettage (D&C) was carried out under general anesthesia within six weeks. After completion of each sampling procedure the women filled in a questionnaire regarding their experience of the sampling. RESULTS: Endorette sampling failed in 16% (21/133) of the women. More than half (56%) of the women experienced moderate or strong pain during Endorette sampling, and the doctor underestimated the pain in 62% of the women. Endorette failed to diagnose two of seven (29%) endometrial cancers found at D&C. In one of these two cases, the examiner suspected that the Endorette device had not reached the uterine fundus. In women with endometrium < 7 mm, Endorette and D&C showed similar results with regard to obtaining a sufficient endometrial sample and to distinguishing normal endometrium, benign pathological endometrium and malignancy. In women with endometrium > or =7 mm, Endorette yielded insufficient samples significantly more often than D&C (23% vs 6%, p=0.02; the McNemar test) and missed all polyps and most (77%) hyperplasias diagnosed by D&C. CONCLUSION: Endorette and D&C have similar diagnostic properties in women with postmenopausal bleeding and endometrium < 7 mm. D&C is superior to Endorette in women with endometrium > or =7 mm.}},
author = {{Epstein, Elisabeth and Skoog, Lennart and Valentin, Lil}},
issn = {{1600-0412}},
keywords = {{curettage; endometrial sampling; postmenopausal bleeding; ultrasound; uterine
malignancy}},
language = {{eng}},
number = {{10}},
pages = {{959--964}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Obstetricia et Gynecologica Scandinavica}},
title = {{Comparison of Endorette and dilatation and curettage for sampling of the endometrium in women with postmenopausal bleeding}},
url = {{http://dx.doi.org/10.1034/j.1600-0412.2001.801015.x}},
doi = {{10.1034/j.1600-0412.2001.801015.x}},
volume = {{80}},
year = {{2001}},
}