Transvaginal Ultrasounds and Saline Infusion Sonohysterograms
Dr. Steven R. Goldstein is a renowned gynecologist and Gynecologist in NYC. He is a pioneer in the field of gynecologic ultrasound. With decades of experience, he has significantly influenced diagnostic practices related to abnormal uterine bleeding and other gynecologic conditions. His work emphasizes the importance of non-invasive diagnostic tools, particularly transvaginal ultrasounds and saline infusion sonohysterograms (SIS), as alternatives to more invasive procedures.
Transvaginal
Ultrasounds: A Non-Invasive Diagnostic Tool
Transvaginal ultrasound is a key diagnostic procedure in Dr. Goldstein's practice. Unlike traditional abdominal ultrasounds, transvaginal ultrasounds involve inserting a high-frequency probe into the vagina to obtain detailed images of the uterus, ovaries, and surrounding structures. This method provides several advantages:
• Enhanced Imaging: The proximity of the probe to the pelvic organs allows for clearer and more detailed images, aiding in the detection of abnormalities such as fibroids, ovarian cysts, and endometrial thickening.
• Non-Invasive and Painless: The procedure is quick, typically performed in an office setting, and does not require anesthesia, making it a preferable option for many patients.
• Avoidance of Unnecessary Surgeries: Dr. Goldstein advocates for the use of transvaginal ultrasounds to avoid unnecessary exploratory surgeries or biopsies. He emphasizes that many gynecologic conditions can be accurately diagnosed using this method, reducing the need for more invasive procedures.
Saline Infusion Sonohysterograms: Enhancing Diagnostic Accuracy
Saline infusion sonohysterography (SIS) is another diagnostic tool championed by Dr. Goldstein. This procedure involves the introduction of sterile saline into the uterine cavity during a transvaginal ultrasound, enhancing the visualization of the endometrial lining. The benefits of SIS include:
• Improved Detection of Uterine Pathologies: The saline infusion distends the uterine cavity, allowing for better visualization of abnormalities such as polyps, fibroids, or adhesions.
• Minimally Invasive: Like transvaginal ultrasounds, Saline Infusion Sonohysterograms are a non-invasive procedure that can often replace more invasive diagnostic methods such as endometrial biopsies, Dilatation and Curettage (D&C) as a first means of diagnosis, thereby reducing patient discomfort and recovery time.
• Cost-Effective: Saline Infusion Sonohysterorams are a relatively low-cost procedure compared to traditional diagnostic methods, making it accessible to a broader range of patients.
Dr. Goldstein's development of the Goldstein SonoHysterography Catheter further exemplifies his commitment to improving diagnostic practices. This device is used to access the uterine cavity for the delivery of saline for sonohysterography, thereby streamlining the diagnostic process and minimizing the need for more invasive procedures.
Advocacy for Non-Invasive Diagnostic Practices
Dr. Goldstein's advocacy for non-invasive diagnostic methods is rooted in his extensive research and clinical experience. He has been instrumental in challenging traditional practices that favor invasive procedures without considering less invasive alternatives. His work has led to significant changes in clinical guidelines, including the adoption of transvaginal ultrasound as a standard practice for evaluating postmenopausal bleeding.
Dr. Steven R. Goldstein's contributions to gynecologic diagnostics have reshaped the approach to evaluating abnormal uterine bleeding and other gynecologic conditions. Through his promotion of transvaginal ultrasounds and saline infusion sonohysterograms, he has provided patients with safer, more comfortable, and cost-effective alternatives to
invasive procedures. His work continues to influence best practices in gynecologic care, emphasizing the importance of patient-centered, noninvasive diagnostic methods.
Women suffering from abnormal uterine bleeding, pelvic pain, heavy bleeding, painful periods or have been told to have an endometrial biopsy may consider a consultation with Dr Steven R. Goldstein a NYC Gyn.