Endometrial screening of asymptomatic women by irrigation technique in the private gynecology office

Murray J. Casey, T. J. Madden

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A study was made of 201 asymptomatic women over age 40 (range, 40-74 years) who underwent uterine sounding and endometrial screening by the negative pressure jet irrigation technique, without anesthesia, in private gynecologists' offices. Introduction of the irrigator was accomplished in 88% of these patients. In 97% of the successful irrigations, the specimens obtained were satisfactory for cytologic and histologic diagnosis of neoplasia. No occult endometrial carcinomas were discovered. The factors which interfered with endometrial screening by these methods are analyzed. Cervical stenosis prevented endometrial irrigation in 13 of the 24 unsuccessful attempts. Acceptance by the patients was high, in that 74.2% reported light or no discomfort and only 4.7% complained of severe discomfort. Although 12.5% experienced pelvic cramping after irrigation, no other significant side effects were observed. The results of this investigation indicate the feasibility of using the endometrial irrigation technique for massive screening studies of asymptomatic women who are at risk for the development of endometrial carcinoma.

Original languageEnglish
Pages (from-to)118-124
Number of pages7
JournalJournal of the American Geriatrics Society
Volume25
Issue number3
StatePublished - 1977
Externally publishedYes

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Endometrial Neoplasms
Gynecology
Pathologic Constriction
Anesthesia
Light
Pressure
Neoplasms

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

Endometrial screening of asymptomatic women by irrigation technique in the private gynecology office. / Casey, Murray J.; Madden, T. J.

In: Journal of the American Geriatrics Society, Vol. 25, No. 3, 1977, p. 118-124.

Research output: Contribution to journalArticle

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