Pre-operative ultrasonographic evaluation of nongravid, enlarged uteri - Correlation with bimanual examination

Arie Dekel, Jacob Farhi, Tally Levy, Raoul Orvieto, Yosef Shalev, Dov Dicker, Itai Bar-Hava, Zion Ben-Rafael

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Objective: To correlate the size of the nongravid uterus measured by ultrasound and bimanual examination before hysterectomy, with the actual size of the specimens. Patients and Methods: Uterine size of 49 consecutive patients, who underwent elective hysterectomy, was assessed by bimanual pelvic examination, preoperative ultrasonographic evaluation and actual postoperative size. Results: All preoperative ultrasonographic uterine dimensions significantly correlated with the corresponding actual dimensions of the uterine specimens. Furthermore, ultrasonographic uterine length had the best correlation with uterine size estimation by bimanual examination. A formula was established in an attempt to calculate clinical uterine size by gestational week, using preoperative ultrasonographic dimensions. Conclusions: By using the aforementioned formula, ultrasonographic uterine dimensions can be extrapolated to uterine size in terms of gestational week, and therefore, be applicable to traditional clinical practice. Copyright (C) 1998 Elsevier Science Ireland Ltd.

Original languageEnglish
Pages (from-to)205-207
Number of pages3
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume80
Issue number2
DOIs
StatePublished - 1 Oct 1998
Externally publishedYes

Keywords

  • Bimanual examination
  • Fibroid uterus
  • Ultrasonography

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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