Paper Information

Journal:   JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH   Winter 2002 , Volume 10 , Number 41; Page(s) 23 To 26.
 
Paper: 

EVALUATION OF THE UTERINE SIZE IN NON-GRAVID ENLARGED UTERI: COMPARING BIMANUAL EXAMINATION AND ULTRASONOGRAPHY

 
 
Author(s):  NASOHI J., SALASI M.
 
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Abstract: 

Background: Estimation of the size of enlarged non-gravid uterus comparing with gravid uterine size by means of bimanual examination is important for therapeutic planning in these patients. This study was designed to compare the size of uterus by bimanual examination and ultrasonographic methods in patients with enlarged non-gravid uterus in Shohadae Tajrish Hospital (2000).
Materials and Methods: In this correlational type survey 49 candidate patients for abdominal hysterectomy were selected by simple sampling and uterine size was evaluated by bimanual examination. The uterine size was evaluated again by ultrasonography for all the patients. After hysterectomy uterine size was recorded in the operating room. Results were analysed using Pearson's correlation coefficient and linear regression formula.
Results: Patients were 35-56 years old (Mean 45.3 ± 5.4 y). A significant correlation existed between uterine length and width using bimanual examination and ultrasonography (r=0.71, P<0.0001). Also considering fundal height only, equation as: Uterine size = 0.865×L was obtained. Also true uterine size (post hysterectomy) had a significant correlation with ultrasonographic uterine length (r= 0.7, P<0.0001).
Conclusion: There is a significant correlation between estimation of uterine size by bimanual examination and ultrasonography. In patients with problematic bimanual exam, ultrasound can be used for estimation of uterine size could estimate uterine size according to the gestational age.

 
Keyword(s): UTERINE SIZE, ULTRASOUND, BIMANUAL EXAMINATION
 
References: 
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