Pipelle Endometrial Sampling Versus Conventional Dilatation & Curettage in Patients With Abnormal Uterine Bleeding

Abstract

Aim: To assess the efficacy of endometrial sampling using Pipelle compared with  Conventional dilatation & curettage in women with bleeding from the uterus that is heavier/longer than usual or that occurs at an irregular time.

Place and duration of study: Department of Obs & Gynae, Aviceena  Medical College/Hospital from June 2020 to June 2021.

Methodology: This comparative study was carried out in 57 women with abnormal uterine bleeding. Endometrial sampling was done by Pipelle without cervical dilatation followed by dilatation & curettage. Histopathology results were compared. Histopathological evaluation of  the samples  obtained by Dilatation & curettage was considered  gold standard.

Results: All endometrial tissue samples (100%) collected by dilatation & curettage while 98% obtained by the Pipelle sampler were acceptable for histopathology.  Histopathological investigation of 57 samples acquired through  dilatation & curettage confirmed proliferative and Secretory changes, Endometrial Hyperplasia, Endometritis in 15,13, 19, and 4 subjects while  Endometrial Polyps and Malignant change in 2 and 4 specimens respectively.

Conclusion: Pipelle endometrial sampling is  an efficient outpatient procedure thus avoiding hazards of general anesthesia with a great precision for evaluating benign and malignant endometrial  pathology.