Clinical Study

Diagnostic hysteroscopy is more accurate than SIS and TVUS in assessing endometrial pathology

Grimbizis GF, Tsolakidis D, Mikos T, et al. Fertil Steril. 2010;94:2721-2725.

A study of 105 women compared diagnostic hysteroscopy (DH), saline infusion sonohysterography (SIS), and transvaginal ultrasound (TVUS) in the assessment of endometrial pathology.

  • DH was the most accurate technique in the diagnosis of all endometrial pathologies (AUC=0.953) vs SIS (AUC=0.759) and TVUS (AUC=0.725)
  • DH had superior diagnostic performance vs. SIS (P<.001) and TVUS (P<0.001)
  • DH more accurately diagnosed endometrial diseases and intracavitary masses

Additionally, diseases of the endometrium (eg, hyperplasia and cancer) cannot be distinguished by SIS or TVUS.

Comparison of TVUS,
SIS, DH – Study

Click to View Disease State Results
  • aAny Path
  • bMyomas/Polyps
  • cMyomas
  • dPolyps
  • eDiseases
  • fStruc. Abnorm.

"My patient was extremely happy that I was able to arrive at a diagnosis very quickly thanks to the Endosee procedure that was performed within the confines of my office and with no physical discomfort."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS
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Average time per procedure: Less than 3 minutes Average time doctors were in the exam room per procedure: Less than 13 minutes "With Endosee, we can turn over the room in 20 minutes" – Physician feedback

  • Feedback from 106 Endosee Trials with 42 Clinicians
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"Endosee is a game changer for my practice and for my patients. It is now my first line evaluation for any abnormal uterine bleeding patient before surgery as well as prioritizing patients’ disposition over a hysterosalpingogram. I can now see and evaluate the patient for polyps or most intrauterine abnormalities in my office in less visits and without the OR expense."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS
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"Endosee allowed myself and the patient a direct assessment of the uterine cavity. We were both surprised to see the reoccurrence and extent of intrauterine pathology that I was not able to appreciate on pelvic sonogram."

Steven Lindhelm, MD, MMM
  • Steven Lindhelm, MD, MMM
  • Wright State University
  • Boonshaft School of Medicine
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"In-office hysteroscopy benefits my patients in several different ways. For example, it eliminates unnecessary OR time, deductible expenses, exposure to anesthesia, as well as possible major complications from surgery."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS
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"Endosee is shifting the paradigm of how we evaluate our patients with abnormal bleeding. It has enabled me to evaluate most of the abnormal bleeding patients right in the office instead of the operating room."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL
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"Endosee employs disposable cannulas: even though we have to buy them, the cost is significantly less than having to sterilize equipment after every use."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL
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"First and foremost, it saves patients the cost of visiting an operating room. Plus, there’s no need to take a full day off from work since the procedure is quick and requires no anesthesia."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL
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Patients reporting no discomfort or mild discomfort* 91.5%
Procedures in which NSAIDs were used 44.2%
Procedures in which a paracervical block was used 37.5%
Procedures in which a slight dilation was used 45.1%

*Discomfort reported was mostly due to uterine distention.

  • Feedback from 106 Endosee Trials with 42 Clinicians
MORE CLINICIAN FEEDBACK