Comparison of efficacy and morbidity of pipelle vs conventional endometrial sampling

Objective: to compare the efficacy and morbidity of pipelle endometrial sampling and conventional d&c sampling in patients with abnormal uterine bleeding and post menopausal bleeding. study design: quasi experimental study. setting: department of obstetrics and gynaecology,jinnah hospital,lahore. duration: the study was conducted over a period of six months from 07.01.2008 to 06.07.2008 methods: the study comprised of 100 patients meeting inclusion criteria who were divided into two groups. in group-a,the endometrial sampling was done by pipelle suction cannula. in group-b,the endometrial sampling was done by conventional dilatation and curettage (d&c). results: the mean age (±sd) of the study group was 45.4±7.2 years. the most common presenting complaint was menorrhagia (n=45). an adequate sample was obtained in 96% of cases by pipelle and in 100% of cases by d&c. both samples labeled as inadequate with pipelle method were polyps.. the procedure related morbidity was negligible in pipelle sampled group as compared to d&c group. conclusion: we found that the pipelle is a user and patient friendly device. it is safe and cost effective technique for getting an adequate endometrial sample for histology,with high sensitivity and specificity for detection of hyperplasia and malignancy.