Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064



Downloads: 44 | Weekly Hits: ⮙8 | Monthly Hits: ⮙32

Research Paper | Gynaecology | India | Volume 10 Issue 3, March 2021

Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women

Dr. K. Kanaga Lakshmi, Dr. K. P. Mohanasundari

BACKGROUND: Endometrial sampling for histopathology is important in the assessment of abnormal uterine bleeding. Aim of the study is mainly to compare the diagnostic accuracy of the pipelle device in acquiring an adequate and representative sample from the endometrium in perimenopausal and postmenopausal women. METHOD: An observational clinical correlation diagnostic study of 100 patients in perimenopausal and postmenopausal age group women with abnormal uterine bleeding carried out in the Department of Obstetrics and Gynecology,. Endometrial sampling with Pipelle curette was performed in 100 patients before giving anaesthesia followed by Dilatation & curettage. The histopathology reports of both samples were compared. RESULTS: 96 %of the samples obtained by conventional D&C, while 93 % of the samples obtained by the pipelle device were adequate for histopathological examination. In this study the pipelle device had 100 % sensitivity, 100 % specificity and 100 % accuracy for diagnosing endometrial hyperplasia and endometrial carcinoma. Both pipelle and D&C failed to detect polyps. The adequacy and diagnostic accuracy of Pipelle in comparison with D&C is with sensitivity of 96.88 %, specificity of 100 %, PPV of 100 % and NPV of 57.14 %. CONCLUSION: The Pipelle sampling can be considered as a first line investigation for getting an adequate endometrial sample and high sensitivity and specificity for the detection of hyperplasia and malignancy. Thus Pipelle has an added advantage of no anesthesia or other procedural complications compared to D&C.

Keywords: Abnormal uterine bleeding, Pipelle, Dilatation and Curettage, Histopathological examination, perimenopausal, postmenopausal

Edition: Volume 10 Issue 3, March 2021

Pages: 696 - 701

Share this Article

How to Cite this Article?

Dr. K. Kanaga Lakshmi, Dr. K. P. Mohanasundari, "Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=SR21305202446, Volume 10 Issue 3, March 2021, 696 - 701

Enter Your Registered Email Address





Similar Articles with Keyword 'Abnormal uterine bleeding'

Downloads: 44 | Weekly Hits: ⮙8 | Monthly Hits: ⮙32

Research Paper, Gynaecology, India, Volume 10 Issue 3, March 2021

Pages: 696 - 701

Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women

Dr. K. Kanaga Lakshmi, Dr. K. P. Mohanasundari

Share this Article

Downloads: 88 | Monthly Hits: ⮙10

Research Paper, Gynaecology, India, Volume 9 Issue 9, September 2020

Pages: 524 - 526

Clinicopathological Evaluation of Abnormal Uterine Bleeding and its Management in a Tertiary Care Centre

Dr. Smily Dutta, Dr. Jyoti Hak

Share this Article

Downloads: 107

Research Paper, Gynaecology, India, Volume 4 Issue 5, May 2015

Pages: 1889 - 1891

A Rare Case Presentation of Papillary Serous Cystadenofibromain Paraovarian Cyst

Kavitha Garikapati, Lakshmi Narayana Kota, Premalatha P, Jyothi Melam

Share this Article

Downloads: 120 | Weekly Hits: ⮙4 | Monthly Hits: ⮙13

Case Studies, Gynaecology, India, Volume 8 Issue 7, July 2019

Pages: 1815 - 1817

Correlation between Thyroid Disorder and Pattern of Menstrual Bleeding in Women with Abnormal Uterine Bleeding

Dr Pratibha Yadav, Dr Amita Yadav, Dr Manju Varma, Dr Meena Dayal

Share this Article

Downloads: 120 | Weekly Hits: ⮙3 | Monthly Hits: ⮙13

Research Paper, Gynaecology, India, Volume 8 Issue 11, November 2019

Pages: 1053 - 1056

Study of Correlation of Histopathological Patterns of Endometrium in Dysfunctional Uterine Bleeding

Dr. Yogesh Parmar, Dr. Kritika Pandey

Share this Article

Similar Articles with Keyword 'Histopathological examination'

Downloads: 44 | Weekly Hits: ⮙8 | Monthly Hits: ⮙32

Research Paper, Gynaecology, India, Volume 10 Issue 3, March 2021

Pages: 696 - 701

Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women

Dr. K. Kanaga Lakshmi, Dr. K. P. Mohanasundari

Share this Article

Downloads: 107

Research Paper, Gynaecology, India, Volume 4 Issue 5, May 2015

Pages: 1889 - 1891

A Rare Case Presentation of Papillary Serous Cystadenofibromain Paraovarian Cyst

Kavitha Garikapati, Lakshmi Narayana Kota, Premalatha P, Jyothi Melam

Share this Article

Downloads: 114 | Weekly Hits: ⮙2 | Monthly Hits: ⮙12

Case Studies, Gynaecology, India, Volume 4 Issue 7, July 2015

Pages: 1687 - 1688

Ovarian Fibroma in Young Female with Raised Serum Ca-125: A Unique Case Report

Pravinkumar Jadav

Share this Article

Downloads: 134 | Weekly Hits: ⮙1

Research Paper, Gynaecology, Iraq, Volume 7 Issue 1, January 2018

Pages: 1414 - 1416

Evaluation of Endometrial Layer Changes in Perimenopausal Women with Amenorrhea on Tamoxifen

Kawakeb N Abdulla, Saba J Alheshimi, Hanan Dh. Skheel Aljebory, Hayder A. Fawzi, Anas K. Awn

Share this Article

Downloads: 157 | Monthly Hits: ⮙5

Case Studies, Gynaecology, India, Volume 7 Issue 1, January 2018

Pages: 226 - 228

Vulvar Cavernous Hemangioma

Dr. Riddhi Shah, Dr. Usha Parekh

Share this Article

Similar Articles with Keyword 'perimenopausal'

Downloads: 44 | Weekly Hits: ⮙8 | Monthly Hits: ⮙32

Research Paper, Gynaecology, India, Volume 10 Issue 3, March 2021

Pages: 696 - 701

Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women

Dr. K. Kanaga Lakshmi, Dr. K. P. Mohanasundari

Share this Article

Downloads: 88 | Monthly Hits: ⮙10

Research Paper, Gynaecology, India, Volume 9 Issue 9, September 2020

Pages: 524 - 526

Clinicopathological Evaluation of Abnormal Uterine Bleeding and its Management in a Tertiary Care Centre

Dr. Smily Dutta, Dr. Jyoti Hak

Share this Article

Downloads: 125 | Weekly Hits: ⮙4 | Monthly Hits: ⮙14

Case Studies, Gynaecology, India, Volume 5 Issue 5, May 2016

Pages: 659 - 661

Management of Cervical Fibroids in Perimenopausal and Postmenopausal Females

Dr. Mukti S. Harne, Dr S. K. Rath, Dr. G.S. Aher

Share this Article

Downloads: 134 | Weekly Hits: ⮙1

Research Paper, Gynaecology, Iraq, Volume 7 Issue 1, January 2018

Pages: 1414 - 1416

Evaluation of Endometrial Layer Changes in Perimenopausal Women with Amenorrhea on Tamoxifen

Kawakeb N Abdulla, Saba J Alheshimi, Hanan Dh. Skheel Aljebory, Hayder A. Fawzi, Anas K. Awn

Share this Article

Similar Articles with Keyword 'postmenopausal'

Downloads: 44 | Weekly Hits: ⮙8 | Monthly Hits: ⮙32

Research Paper, Gynaecology, India, Volume 10 Issue 3, March 2021

Pages: 696 - 701

Comparison of the Diagnostic Accuracy of Pipelle Endometrial Sampling with Dilatation and Curettage in Cases of Abnormal Uterine Bleeding in Perimenopausal and Post Menopausal Women

Dr. K. Kanaga Lakshmi, Dr. K. P. Mohanasundari

Share this Article

Downloads: 46 | Monthly Hits: ⮙7

Masters Thesis, Gynaecology, India, Volume 10 Issue 2, February 2021

Pages: 808 - 813

Prevalence and Related Risk Factors of Osteoporosis and Osteopenia among Peri and Post Menopausal Women

Dr. Remya Mohanan.T.V, Dr. Neetha George, Dr. Sareena Gilvaz, Dr. Soumya Mohanan.T.V

Share this Article

Downloads: 114 | Weekly Hits: ⮙3

Research Paper, Gynaecology, India, Volume 8 Issue 7, July 2019

Pages: 1480 - 1481

A Case Report of Vaginal Squamous Cell Carcinoma in Uterovaginal Prolapse

Dr. C. Amirtha, Dr. Vidhya, Dr. K. Saraswathi

Share this Article

Downloads: 115 | Weekly Hits: ⮙2 | Monthly Hits: ⮙11

Research Paper, Gynaecology, Uzbekistan, Volume 5 Issue 2, February 2016

Pages: 1720 - 1722

Early Diagnostics and Prevention of Osteoporosis in Women in Pre- and Postmenopausal Period

Abdieva M. O.

Share this Article

Downloads: 121 | Weekly Hits: ⮙5 | Monthly Hits: ⮙13

Case Studies, Gynaecology, India, Volume 4 Issue 6, June 2015

Pages: 2588 - 2590

Post Menopausal Bleeding: An Analytic Study of 100 Cases

Nirupama V, Suneetha Y, Prabha Devi K

Share this Article



Top