Pertinence and outcome of referrals to gynaecology department from sexual health ultrasound clinic
ESC Congress Library. Aziz N. May 10, 2018; 208233; ESC81
Dr. Najia Aziz
Dr. Najia Aziz
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Abstract
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Introduction: The aim of this study was to determine the appropriateness and outcomes of referrals to gynaecology department from sexual health clinic. Methods: A retrospective analysis of patients' electronic records that had pelvic ultrasound performed in sexual health clinic over a period of 8 months. All patients who had pelvic ultrasound performed in sexual health consultant clinic from October 2016-May 2017 were included. Results: 53 patients who had pelvic ultrasound were included in the analysis. 25 (47%) patients were referred for ultrasound for coil related issues. 6 (11%) patients had ultrasound for pelvic pain and 5 (9%) patients had it for deep dyspareunia. On ultrasound examination, there were findings of 5 ovarian cysts and 7 fibroids. 1 patient had pregnancy with coil and 1 had unicornuate uterus. 85% of patients were managed and followed up in sexual health clinic. 8 (15%) patients were referred to gynaecology department for further investigations/management. 4 were referred for ovarian cysts and 4 for fibroids. Of the 4 patients found to have ovarian cysts; 1 was booked for laparoscopic cystectomy and another for laparoscopic oophorectomy. 2 patients had follow up ultrasound booked with CA 125. 1 patient was diagnosed with bilateral endometriomas (with no previous history of endometriosis) in sexual health clinic and gynaecology referral confirmed the diagnosis. Of the 4 patients referred for fibroids, 1 opted for hysterectomy following a diagnosis of 8cm fibroid in sexual health. Discussion: This study has shown that all of the patients were appropriately referred to gynaecology and underwent investigations and management based on the relevant diagnosis. This study has also shown that ultrasound is a valuable resource to be used in sexual health clinic (as 85% of patients were managed with in sexual health) and can be used as a useful tool to pick up complex patients in community setting.
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