Diagnostic comparison of hysteroscopic guided biopsy with histopathology of hysterectomy specimen in abnormal uterine bleeding

Background: The objective of the study is to do diagnostic comparison of hysteroscopic guided biopsy with histopathology of hysterectomy specimen in evaluation of abnormal uterine bleeding. Methods: An observational prospective study is conducted amongst 114 women between age of 30 years to 80 years with abnormal uterine bleeding admitted for diagnostic hysteroscopy and underwent hysterectomy for relief of symptoms at obstetrics and gynecology department, Apollo Hospital, Bilaspur, Chhattisgarh from January 2023 to July 2024 over a period of 1.5 years. Results: Leiomyoma and adenomyosis are best diagnosed by histopathology of hysterectomy specimen. Diagnostic accuracy of hysteroscopic guided biopsy in endometrial polyp, atrophic endometrium, endometrial hyperplasia and endometrial carcinoma is equal to diagnostic accuracy of histopathology of hysterectomy specimen in evaluating abnormal uterine bleeding. Conclusions: Hysteroscopic guided biopsy should be done in every case to find exact cause of abnormal uterine bleeding and rule out malignancy. It helps in avoiding unnecessary hysterectomy. It helps to select route of hysterectomy whether abdominal, vaginal or laparoscopic should be preferred.