Comparision between transabdominal and transvaginal sonography in various gynecological disorders

Objectives: To assess the diagnostic accuracy of Transvaginal sonography as compared to transabdominal sonography in various gynecological disorders. Methodology: Total number of 100 patients attending OPDs with various complaints were selected by random technique of the study. All the patients have informed consent and thorough clinical examination including general, systemic and pelvic examination was conducted after taking a detailed history then the patients underwent transabdominal sonography and transvaginal sonography followed by one of the procedures like fractional curettage, dilatation and curettage and abdominal hysterectomy (with or without conservation of ovaries) or conservative management with regular follow up. Results: Our analysis, showed that transvaginal sonography had high diagnostic accuracy when compared to clinical examination 70% of fibroid, 8% of ovarian cyst, 100% paraovarian cyst, and 66.6% cases of endometrial polyp were missed by clinical examination. 50% of PID were misdiagnosed by clinical examination which were diagnosed as ovarian cyst. There was statistical significant difference of TAS findings with TVS findings of patients (P< 0.05). There was statistically highly significant difference of clinical findings with TVS findings of the patients (P<0.01). Conclusion: The final outcome is that transvaginal ultrasonographic examination is an important non-invasive investigation, can be used as important diagnostic method in various gynecological disorders as it has got a high diagnostic accuracy in small pelvic masses where transabdominal sonography is helpful in evaluating large pelvic masses