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Saline-Air Hysterosalpingo-Contrast Sonography Is Equivalent to the Modified Hysterosalpingogram Following Hysteroscopic Sterilization. Ultrasound Q 2020; 36:138-145. [PMID: 32511207 DOI: 10.1097/ruq.0000000000000488] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE To estimate the diagnostic efficacy of saline-air hysterosalpingo-contrast sonography (SA-HyCoSy) compared with the modified hysterosalpingogram (mHSG) for confirmation of both coil location and tubal occlusion following hysteroscopic sterilization. METHODS This study included 19 women who underwent both SA-HyCoSy and mHSG where 1 test was followed by the other. Sensitivity, specificity, and positive and negative predictive values for tubal occlusion against the mHSG were calculated for each fallopian tube by 2 independent interpreters. Interrater reliability was assessed using Cohen κ statistic. Procedure time and pain level by 11-point numeric rating scale of SA-HyCoSy and mHSG were also compared. RESULTS Thirty-eight fallopian tubes were evaluated. Tubal occlusion was noted in 97.3% of tubes for both interpreters with the mHSG compared with 92.1% and 94.7% with SA-HyCoSy. The positive and negative predictive values for tubal occlusion were 100%/100% and 50%/33%, respectively, with an overall agreement of 97.4% and 95.7%, κ = 0.48, P < 0.01. Saline-air HyCoSy changed interpretation of coil insert location in 50% and 44.7% for each interpreter, being downgraded from optimal to satisfactory in 42.9% (9/21) and 36% (9/25) and upgraded to optimal in 58.8% (10/17) and 61.5% (8/13), respectively. There were no statistically significant differences in procedural time (7.5 vs 9.4 minutes, P > 0.05) or maximum pain scores (2.3 vs 3.1, P > 0.05) for the mHSG compared with SA-HyCoSy. CONCLUSIONS Our findings revealed a high degree of diagnostic accuracy with SA-HyCoSy for tubal occlusion, although coil location changed in nearly half of cases. Avoidance of radiation and patient convenience/compliance with SA-HyCoSy may outweigh the drawbacks.
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Calles-Sastre L, Engels-Calvo V, Ríos-Vallejo M, Serrano-González L, García-Espantaleón M, Royuela A, De la Cuesta R, Pérez-Medina T. Prospective Study of Concordance Between Hysterosalpingo-Contrast Sonography and Hysteroscopy for Evaluation of the Uterine Cavity in Patients Undergoing Infertility Studies. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2018; 37:1431-1437. [PMID: 29143353 DOI: 10.1002/jum.14483] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Revised: 08/21/2017] [Accepted: 08/28/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES The purpose of the study was to assess the accuracy of hysterosalpingo-contrast sonography (HyCoSy) for evaluation of the uterine cavity. METHODS Hysterosalpingo-contrast sonography was compared with hysteroscopy for assessment of the uterine cavity. This work was a descriptive prospective study to assess the concordance between pathologic intrauterine findings using the Cohen κ coefficient. Ninety infertile patients from Puerta de Hierro University Hospital were included in the study. They underwent HyCoSy between June 2016 and April 2017. Fifteen of them had pathologic findings in the uterine cavity during HyCoSy and therefore underwent hysteroscopy. Clinical and sonographic findings were compared in those 15 patients by to evaluate the agreement between both techniques. RESULTS In this study, intrauterine sonographic findings on HyCoSy and hysteroscopic features of the uterine cavity reached 100% concordance, with a κ coefficient of 1.000 and a 100% agreement rate. CONCLUSIONS Hysterosalpingo-contrast sonography permits a very accurate evaluation of the uterine cavity, which could be of interest for infertile patients who might be examined for tubal patency.
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Affiliation(s)
- Laura Calles-Sastre
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Virginia Engels-Calvo
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Mar Ríos-Vallejo
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Lucia Serrano-González
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Manuel García-Espantaleón
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Ana Royuela
- Department of Biostatistical Unit, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Reyes De la Cuesta
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
| | - Tirso Pérez-Medina
- Department of Obstetrics and Gynecology, Autonoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain
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Regarding "Accuracy of Tubal Patency Assessment during Diagnostic Hysteroscopy Compared with Laparoscopy in Infertile Women: A Retrospective Cohort Study". J Minim Invasive Gynecol 2018; 25:542. [PMID: 29325968 DOI: 10.1016/j.jmig.2017.12.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 12/15/2017] [Indexed: 11/23/2022]
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Shokeir T. Regarding "Proximal Tubal Patency Demonstrated Through Air Infusion During Flexible Office Hysteroscopy Is Predictive of Whole Tubal Patency". J Minim Invasive Gynecol 2017; 24:1050. [PMID: 28506832 DOI: 10.1016/j.jmig.2017.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Accepted: 04/22/2017] [Indexed: 11/30/2022]
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Soliman AA, Shaalan W, Abdel-Dayem T, Awad EE, Elkassar Y, Lüdders D, Malik E, Sallam HN. Power Doppler flow mapping and four-dimensional ultrasound for evaluating tubal patency compared with laparoscopy. Eur J Obstet Gynecol Reprod Biol 2015; 195:83-87. [PMID: 26479436 DOI: 10.1016/j.ejogrb.2015.09.039] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Revised: 06/16/2015] [Accepted: 09/25/2015] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To study the accuracy of four-dimensional (4D) ultrasound and power Doppler flow mapping in detecting tubal patency in women with sub-/infertility, and compare it with laparoscopy and chromopertubation. STUDY DESIGN A prospective study. The study was performed in the outpatient clinic and infertility unit of a university hospital. The sonographic team and laparoscopic team were blinded to the results of each other. Women aged younger than 43 years seeking medical advice due to primary or secondary infertility and who planned to have a diagnostic laparoscopy performed, were recruited to the study after signing an informed consent. All of the recruited patients had power Doppler flow mapping and 4D hysterosalpingo-sonography by injecting sterile saline into the fallopian tubes 1 day before surgery. Registering Doppler signals, while using power Doppler, both at the tubal ostia and fimbrial end and the ability to demonstrate the course of the tube especially the isthmus and fimbrial end, while using 4D mode, was considered a patent tube. RESULTS Out of 50 recruited patients, 33 women had bilateral patent tubes and five had unilateral patent tubes as shown by chromopertubation during diagnostic laparoscopy. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy for two-dimensional power Doppler hysterosalpingography were 94.4%, 100%, 100%, 89.2%, and 96.2%, respectively and for 4D ultrasound were 70.4%, 100%, 100%, 70.4%, and 82.6%, respectively. CONCLUSIONS Four-dimensional saline hysterosalpingography has acceptable accuracy in detecting tubal patency, but is surpassed by power Doppler saline hysterosalpingography. Power Doppler saline hysterosalpingography could be incorporated into the routine sub-/infertility workup.
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Affiliation(s)
- Amr A Soliman
- University of Alexandria, Department of Obstetrics and Gynecology, El Shatby Maternity University Hospital, Port-Said Street, 21526 El-Shatby, Alexandria, Egypt; Carl von Ossietzky University Oldenburg, Department of Obstetrics and Gynecology, Oldenburg University Women's Hospital, Rahel-Straus-Straße 10, 26133 Oldenburg, Germany.
| | - Waleed Shaalan
- University of Alexandria, Department of Obstetrics and Gynecology, El Shatby Maternity University Hospital, Port-Said Street, 21526 El-Shatby, Alexandria, Egypt
| | - Tamer Abdel-Dayem
- University of Alexandria, Department of Obstetrics and Gynecology, El Shatby Maternity University Hospital, Port-Said Street, 21526 El-Shatby, Alexandria, Egypt
| | - Elsayed Elbadawy Awad
- University of Alexandria, Department of Obstetrics and Gynecology, El Shatby Maternity University Hospital, Port-Said Street, 21526 El-Shatby, Alexandria, Egypt
| | - Yasser Elkassar
- University of Alexandria, Department of Obstetrics and Gynecology, El Shatby Maternity University Hospital, Port-Said Street, 21526 El-Shatby, Alexandria, Egypt
| | - Dörte Lüdders
- Carl von Ossietzky University Oldenburg, Department of Obstetrics and Gynecology, Oldenburg University Women's Hospital, Rahel-Straus-Straße 10, 26133 Oldenburg, Germany
| | - Eduard Malik
- Carl von Ossietzky University Oldenburg, Department of Obstetrics and Gynecology, Oldenburg University Women's Hospital, Rahel-Straus-Straße 10, 26133 Oldenburg, Germany
| | - Hassan N Sallam
- University of Alexandria, Department of Obstetrics and Gynecology, El Shatby Maternity University Hospital, Port-Said Street, 21526 El-Shatby, Alexandria, Egypt
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Hysterosalpingo-contrast-sonography (HyCoSy) in the assessment of tubal patency in endometriosis patients. Eur J Obstet Gynecol Reprod Biol 2015; 186:22-5. [DOI: 10.1016/j.ejogrb.2014.12.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2014] [Revised: 12/14/2014] [Accepted: 12/18/2014] [Indexed: 11/17/2022]
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Seshadri S, El-Toukhy T, Douiri A, Jayaprakasan K, Khalaf Y. Diagnostic accuracy of saline infusion sonography in the evaluation of uterine cavity abnormalities prior to assisted reproductive techniques: a systematic review and meta-analyses. Hum Reprod Update 2014; 21:262-74. [DOI: 10.1093/humupd/dmu057] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lo Monte G, Capobianco G, Piva I, Caserta D, Dessole S, Marci R. Hysterosalpingo contrast sonography (HyCoSy): let’s make the point! Arch Gynecol Obstet 2014; 291:19-30. [DOI: 10.1007/s00404-014-3465-4] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Accepted: 09/09/2014] [Indexed: 11/28/2022]
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Allam IS, Rashed AM, Sweedan KH, El Bishry GA, Ahmed WE. Role of hysteroscopy in the evaluation of tubal patency in infertile women. MIDDLE EAST FERTILITY SOCIETY JOURNAL 2014. [DOI: 10.1016/j.mefs.2013.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Maheux-Lacroix S, Boutin A, Moore L, Bergeron ME, Bujold E, Laberge P, Lemyre M, Dodin S. Hysterosalpingosonography for diagnosing tubal occlusion in subfertile women: a systematic review with meta-analysis. Hum Reprod 2014; 29:953-63. [DOI: 10.1093/humrep/deu024] [Citation(s) in RCA: 78] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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Marci R, Marcucci I, Marcucci AA, Pacini N, Salacone P, Sebastianelli A, Caponecchia L, Lo Monte G, Rago R. Hysterosalpingocontrast sonography (HyCoSy): evaluation of the pain perception, side effects and complications. BMC Med Imaging 2013; 13:28. [PMID: 23968513 PMCID: PMC3765383 DOI: 10.1186/1471-2342-13-28] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2012] [Accepted: 08/05/2013] [Indexed: 11/10/2022] Open
Abstract
Background Tubal and uterine cavity diseases commonly compromise female fertility. At the present time, hysteroscopy, laparoscopy with chromopertubation and RX-Hysterosalpingography (RX-HSG) are widely accepted screening procedures enabling the effective assessment of both tubal patency and uterine cavity. Nevertheless, consistent evidence supports the reliability of Hysterosalpingocontrast sonography (HyCoSy) in uterine cavity and tubal patency investigation, as a part of the standard infertility work-up. This prospective study was aimed at evaluating the tolerability of the technique as well as the incidence of related side effects and complications in a large series of infertile patients. Methods Pain perception of 632 infertile women was measured by means of an 11-point numeric rating scale. Side effects and late complications were also recorded. Results The mean numeric rating scale was 2.15 ± 2.0 SD. Most of the patients (374/632, 59.17%) rated HyCoSy as a non-painful procedure, whereas 24.36% (154/632) women reported mild pelvic pain and 9.96% (63/632) classified the discomfort as “moderate”. Only 6.48% (41/632) of the patient population experienced severe pelvic pain. Fifteen (2.37%) patients required drug administration for pain relief. Twenty-six patients (4.11%) showed mild vaso-vagal reactions that resolved without atropine administration. No severe vaso-vagal reactions or late complications were observed. Conclusions HyCoSy is a well-tolerated examination and the associated vagal effects are unusual and generally mild. Consequently, we support its introduction as a first-line procedure for tubal patency and uterine cavity investigation in infertile women.
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Affiliation(s)
- Roberto Marci
- Department of Morphology, Surgery and Experimental medicine, University of Ferrara, Via Aldo Moro 8, Ferrara, Cona 44124, Italy.
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Foroozanfard F, Sadat Z. Diagnostic value of hysterosalpingography and laparoscopy for tubal patency in infertile women. Nurs Midwifery Stud 2013; 2:188-92. [PMID: 25414857 PMCID: PMC4228547 DOI: 10.5812/nms.10661] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2013] [Revised: 04/06/2013] [Accepted: 04/08/2013] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Tubal occlusion is one of the most frequent causes of infertility in women. The evaluation of the fallopian tube is necessary to determine the management plan for infertility. The two most important diagnostic procedures which are used for the evaluation of tubal patency are hysterosalpingography (HSG) and laparoscopy. OBJECTIVES The aim of this study was to compare HSG and laparoscopic findings in the diagnosis of tubal patency. PATIENTS AND METHODS In a prospective study sixty two infertile cases were examined by HSG as part of their routine infertility evaluation, three months after HSG, tubs status were assessed by laparoscopy as a gold standard method. The findings of HSG and laparoscopy were compared. The Laparoscopy findings were used as reference standard to calculate sensitivity, specificity, positive and negative predictive values for unilateral and bilateral no tubal patency. RESULTS The sensitivity and specificity of HSG on bilateral tubal patency or no bilateral tubal patency were 92.1% and 85.7% respectively. The positive and negative predictive values were 97.2% and 66.7%, and the accuracy was 91.1%. The sensitivity and specificity of HSG for evaluation of the bilateral tubal patency and unilateral or bilateral no tubal patency were 77.8% and 52.94%, the positive and negative predictive values were 81.4% and 47.4% respectively, and the accuracy was 71%. CONCLUSION HSG is considered to have a high sensitivity and specificity. HSG and laparoscopy are not alternative, but are the complementary methods in the examination of no tubal patency.
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Affiliation(s)
- Fatemeh Foroozanfard
- Department of Gynecology and Obstetrics, Kashan University of Medical Sciences, Kashan, IR Iran
| | - Zohreh Sadat
- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
- Corresponding author: Zohreh Sadat, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel.: +98-3615550021, Fax: +98-3615556633. E-mail:
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Fenzl V. Effect of different ultrasound contrast materials and temperatures on patient comfort during intrauterine and tubal assessment for infertility. Eur J Radiol 2012; 81:4143-5. [DOI: 10.1016/j.ejrad.2012.04.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2012] [Revised: 04/02/2012] [Accepted: 04/03/2012] [Indexed: 11/24/2022]
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Jaget Lakkawar N, Bora M, Rangaswamy T. A COMPARATIVE STUDY OF TRANSVAGINAL SONOHYSTEROSALPINGOGRAPHY (TV-SH) AND HYSTERO-SALPINGOGRAPHY (HSG) FOR ASSESSMENT OF TUBAL PATENCY IN INFERTILITY PATIENTS. ACTA MEDICA MEDIANAE 2011. [DOI: 10.5633/amm.2011.0405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Saunders RD, Shwayder JM, Nakajima ST. Current methods of tubal patency assessment. Fertil Steril 2011; 95:2171-9. [DOI: 10.1016/j.fertnstert.2011.02.054] [Citation(s) in RCA: 85] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2010] [Revised: 01/05/2011] [Accepted: 02/03/2011] [Indexed: 10/18/2022]
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Socolov D, Boian I, Boiculese L, Tamba B, Anghelache-Lupascu I, Socolov R. Comparison of the pain experienced by infertile women undergoing hysterosalpingo contrast sonography or radiographic hysterosalpingography. Int J Gynaecol Obstet 2010; 111:256-9. [PMID: 20850745 DOI: 10.1016/j.ijgo.2010.07.018] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2010] [Revised: 07/01/2010] [Accepted: 08/16/2010] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate the pain and cause of pain experienced by women undergoing hysterosalpingography (HSG) and contrast hysterosalpingo sonography (HyCoSy) with air in a saline solution for the assessment of uterine and tubal patency. METHOD In this prospective study, 121 infertile women undergoing these 2 procedures measured the pain incurred using a digital/analog scale (1-10). We looked for correlations between pain level and variables pertaining to the procedures. Vagal effects and their persistence were also recorded. RESULTS The pain was less during HSG (median, 5) than during HyCoSy (median, 7). It was greater than menstrual pain for 38.8% of participants during HSG and for 70.5% of participants during HyCoSy. There was no correlation between pain and difficult catheter passage, degree of tubal obstruction, volume of contrast medium injected, or presence of IgG antibodies to Chlamydia when these variables were studied for HyCoSy alone. However, the strong correlation between pain score and volume of contrast medium injected during each procedure seems to explain the significantly higher pain levels during HyCoSy (P<0.001). In 65.3% and 57.8% of participants, respectively, the pain disappeared immediately after the HSG or HyCoSy. Only mild vagal effects were recorded following both procedures, in 0.8% of participants after HSG and 2.5% of participants after HyCoSy. CONCLUSION Hysterosalpingo contrast sonography is similar to HSG regarding rapidity of pain disappearance, and infrequency and moderation of vagal effects, but the level of pain is slightly higher, probably due to the greater volume of medium injected.
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Affiliation(s)
- Demetra Socolov
- Gr T Popa University of Medicine and Pharmacy, Iaşi, Romania.
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Lanzani C, Savasi V, Leone FP, Ratti M, Ferrazzi E. Two-dimensional HyCoSy with contrast tuned imaging technology and a second-generation contrast media for the assessment of tubal patency in an infertility program. Fertil Steril 2009; 92:1158-1161. [DOI: 10.1016/j.fertnstert.2008.07.1746] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2008] [Revised: 06/21/2008] [Accepted: 07/16/2008] [Indexed: 11/27/2022]
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Exacoustos C, Zupi E, Szabolcs B, Amoroso C, Di Giovanni A, Romanini ME, Arduini D. Contrast-Tuned Imaging and Second-Generation Contrast Agent SonoVue: A New Ultrasound Approach to Evaluation of Tubal Patency. J Minim Invasive Gynecol 2009; 16:437-44. [DOI: 10.1016/j.jmig.2009.03.019] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2008] [Revised: 03/09/2009] [Accepted: 03/23/2009] [Indexed: 10/20/2022]
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Yildizhan B, Durmusoglu F, Uygur M, Erenus M. A new technique for the diagnosis of fallopian tube patency by using hysteroscopy with ultrasound compared with hysterosalpingography in infertile women. Arch Gynecol Obstet 2009; 280:543-7. [DOI: 10.1007/s00404-009-0953-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2008] [Accepted: 01/14/2009] [Indexed: 10/21/2022]
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KAUFFOLD J, GROEGER S, BERGMANN K, WEHREND A. Use of Contrast Sonography to Test for Tubal Patency in Dairy Cattle. J Reprod Dev 2009; 55:335-8. [DOI: 10.1262/jrd.20168] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Johannes KAUFFOLD
- Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania
| | - Stephan GROEGER
- Clinic for Obstetrics, Gynecology and Andrology of Large and Small Animals, Faculty of Veterinary Medicine, Justus-Liebig-University
| | | | - Axel WEHREND
- Clinic for Obstetrics, Gynecology and Andrology of Large and Small Animals, Faculty of Veterinary Medicine, Justus-Liebig-University
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Carrascosa P, Baronio M, Capuñay C, López EM, Sueldo C, Papier S. Clinical use of 64-row multislice computed tomography hysterosalpingography in the evaluation of female factor infertility. Fertil Steril 2008; 90:1953-8. [DOI: 10.1016/j.fertnstert.2007.09.033] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2007] [Revised: 09/18/2007] [Accepted: 09/18/2007] [Indexed: 10/22/2022]
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Savelli L, Pollastri P, Guerrini M, Villa G, Manuzzi L, Mabrouk M, Rossi S, Seracchioli R. Tolerability, side effects, and complications of hysterosalpingocontrast sonography (HyCoSy). Fertil Steril 2008; 92:1481-1486. [PMID: 18922518 DOI: 10.1016/j.fertnstert.2008.07.1777] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2008] [Revised: 07/20/2008] [Accepted: 07/25/2008] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To evaluate the tolerability, side effects and complications of hysterosalpingocontrast sonography (HyCoSy). DESIGN Prospective study. SETTING University hospital. PATIENT(S) 669 infertile women. INTERVENTION(S) All patients were examined with HyCoSy and monitored for 30 minutes after the procedure. A telephone interview was subsequently carried out to record possible late side effects and postprocedural complications. MAIN OUTCOME MEASURE(S) Tolerability to the procedure was evaluated by means of an 11-point (0 to 10) numeric rating scale of the pain experienced. Postprocedural fever, pelvic infections, peritonitis, hemorrhage were recorded. RESULT(S) Of 660 patients who completed the examination, 483 (73.2%) completed the telephone follow-up after a period of 14.7 +/- 9.9 months from the procedure. The mean patient age was 34.5 +/- 4.3 years, and mean infertility duration was 28.1 +/- 23.2 months. The mean numeric rating scale was 2.7 +/- 2.5, and 10 patients (2.0%) required postprocedural drug treatment for pain relief. Mild vasovagal reactions were experienced in 20 cases (4.1%), and four patients (0.8%) had a severe vasovagal reaction. No late complications were reported. No patients required hospital admission after the procedure. CONCLUSION(S) In our series, HyCoSy was a well-tolerated examination with a very low rate of side effects and no late complications that required no atropine or anti-inflammatory drugs. These data support the safety of HyCoSy when performed as described, but further work is needed to estimate the rate of late complications and side effects in other settings.
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Affiliation(s)
- Luca Savelli
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy.
| | - Paola Pollastri
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
| | - Manuela Guerrini
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
| | - Gioia Villa
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
| | - Linda Manuzzi
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
| | - Mohamed Mabrouk
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
| | - Stefania Rossi
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
| | - Renato Seracchioli
- Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy
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Connor V. Contrast Infusion Sonography in the Post-Essure Setting. J Minim Invasive Gynecol 2008; 15:56-61. [DOI: 10.1016/j.jmig.2007.07.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2007] [Revised: 07/08/2007] [Accepted: 07/14/2007] [Indexed: 10/22/2022]
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Maubon A, Pouquet M, Piver P, Mazet N, Viala-Trentini M, Rouanet J. Imagerie de l’infertilité féminine. ACTA ACUST UNITED AC 2008; 89:172-83. [DOI: 10.1016/s0221-0363(08)70391-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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