Evaluating the adequacy of tissue using manual vacuum aspiration (MVA) versus metal curettage method in endometrial sampling in abnormal uterine bleeding

Mahham Janjua, , Iffat Niazi, Qura tul ain , Shazia Sehgal, Alia Zainab Asad

Abstract

ABSTRACT

Objective: To compare the adequacy of endometrial tissue obtained through Manual Vacuum Aspiration (MVA) versus Metal Curettage Method in females with abnormal uterine bleeding.

Study design: Quasi-experimenta1 study

Study place and duration: Obstetrics & Gynecology Department, Sir Ganga Ram Hospital, Lahore from April to October 2024.

Methodology: All 160 patients, presenting with AUB were included and were divided into two groups. Group A was undergoing endometrial sampling using MVA, while Group B was using sharp metal curettage. Samples from both groups were sent for histopathology, and adequacy was recorded. All the data were analyzed in SPSS version 25.

Results: Total 160 patients, the mean age was 56.49 years, and the mean BMI was 28.39 kg/m². There were 68 cases of adequacy (46.9%) in Group A and 77 cases (53.1%) in Group B. There was a significant relationship of adequacy between study groups. (P<0.05).

Conclusion: The conclusion of the study that adequacy of endometrial sampling was significantly higher in the metal curettage group (Group B) compared to the MVA group (Group A). These findings suggest that metal curettage may be more effective in obtaining adequate samples for histopathological analysis.