Comparison of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding.

Authors

  • Farah Ashraf Madina Teaching Hospital, Faisalabad.
  • Humaira Zafar University Medical and Dental College Faisalabad.
  • Mubashra Naz University Medical and Dental College Faisalabad.
  • Umber Fatima University Medical and Dental College Faisalabad.
  • Anees Fatima University Medical and Dental College Faisalabad.

DOI:

https://doi.org/10.29309/TPMJ/2021.28.09.6071

Keywords:

Abnormal Uterine Bleeding, Dilatation and Curettage, Endometrial Sampling, Pipelle

Abstract

Objective: To compare the adequacy of endometrial sampling with pipelle versus conventional dilatation and curettage in patients with abnormal uterine bleeding. Study Design: Randomized Control Trial. Settings: Department of Obstetrics and Gynecology Madina Teaching Hospital affiliated with University Medical and Dental College Faisalabad. Period: July 2019 to June 2020. Material & Methods: A total of 90 patients with abnormal uterine bleeding were included in the study. Patients in Group A underwent endometrial sampling in OPD without anesthesia using pipelle. Patients in Group B were admitted, dilatation and curettage was done in operation theatre under anesthesia, endometrial tissue sent for histopathology. Patients were called in OPD on follow up visit with histopathology report. Results: Comparison of adequacy of endometrial sampling with pipelle versus conventional dilatation and curettage in abnormal uterine bleeding shows that 84.44% (n=38) in Group A and 91.11% (n=41) in Group B have adequate sample. P value was 0.33, showing insignificant difference. Conclusion: Pipelle has acceptable adequacy for endometrial sampling as compare to dilatation and curettage. It is an outpatient procedure, no need of anesthesia and cervical dilatation. Pipelle can be safely used as an alternative to conventional dilatation and curettage.

Author Biographies

Farah Ashraf, Madina Teaching Hospital, Faisalabad.

MBBS

Postgraduate Resident Obstetrics & Gynecology

Humaira Zafar, University Medical and Dental College Faisalabad.

MBBS, FCPS

Associate Professor Obstetrics & Gynecology

Mubashra Naz, University Medical and Dental College Faisalabad.

MBBS, FCPS, MCPS

Professor Obstetrics and Gynecology

Umber Fatima, University Medical and Dental College Faisalabad.

MBBS, FCPS, MCPS

Assistant Professor Obstetrics and Gynecology

 

Anees Fatima, University Medical and Dental College Faisalabad.

MBBS, FCPS

Assistant Professor Obstetrics and Gynecology

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Published

2021-08-31