Diagnostic accuracy of three-dimensional ... - Fertility and Sterility

Diagnostic accuracy of three-dimensional sonohysterography compared with office hysteroscopy and its interrater/intrarater agreement in uterine cavity assessment after hysteroscopic metroplasty Artur Ludwin, M.D., Ph.D.,a,b,c Inga Ludwin, M.D., Ph.D.,a,b,c Marek Kudla, M.D., Ph.D.,d Kazimierz Pitynski, M.D., Ph.D.,a Tomasz Banas, M.D., Ph.D., M.P.H.,a Robert Jach, M.D., Ph.D.,a and Anna Knafel, M.D., Ph.D.a a

Department of Gynecology and Oncology, Jagiellonian University, Krakow; b Centermed Hospital and Clinic, Krakow; Ludwin and Ludwin Gynecology, Medical Center, Krakow; and d Department of Obstetrics and Gynecology, Medical University of Silesia, Katowice, Poland c

Objective: To compare the diagnostic accuracy of three-dimensional sonohysterography (3D-SIS) and office hysteroscopy in uterine cavity assessment after hysteroscopic metroplasty (HM) and determine the interrater/intrarater agreement for 3D-SIS. Design: Prospective observational study. Setting: University hospital, private hospital, and clinic. Patient(s): One hundred forty-one women undergoing HM for septate uterus with a history of miscarriage and/or infertility. Intervention(s): 3D-SIS and office hysteroscopy at 6–8 weeks after HM. Main Outcome Measure(s): Shape of the uterine cavity, length of the fundal notch (R1 or 40 mIU/mL and 17b-E2