How accurate is the pelvic examination as compared to transvaginal sonography? A prospective, comparative study

J Carter; J Fowler; L Carson; J Carlson; L B Twiggs

How accurate is the pelvic examination as compared to transvaginal sonography? A prospective, comparative study

J Reprod Med. 1994 Jan;39(1):32-4.

Authors

J Carter¹, J Fowler, L Carson, J Carlson, L B Twiggs

Affiliation

¹ Division of Gynecologic Oncology, University of Minnesota Hospital and Clinic, Minneapolis 55455.

PMID: 8169913

Abstract

Findings at pelvic examination in 120 patients were compared to those obtained by transvaginal sonography (TVS). Overall, 102 of 472 (22%) pelvic examination assessments did not agree with the TVS findings. Twenty-nine (36%) uterine assessments differed, while 46 (32%) ovarian assessments differed. Among 37 pelvic masses assessed in 20 cases (54%) the pelvic examination differed from the findings obtained by TVS. Only 4 (29%) cases assessed by pelvic examination were in agreement with the laparotomy findings as compared with 10 (71%) cases assessed by TVS.

Publication types

Comparative Study

MeSH terms

Adolescent
Adult
Aged
Female
Genital Diseases, Female / diagnosis*
Genital Diseases, Female / diagnostic imaging
Genital Diseases, Female / epidemiology
Genital Diseases, Female / surgery
Humans
Laparotomy
Middle Aged
Palpation / methods*
Physical Examination / methods*
Prospective Studies
Reproducibility of Results
Ultrasonography
Vagina