Combined transvaginal sonography and diagnostic hysteroscopy in the assessment of tubal patency in infertile women in correlation to laparoscopic chromopertubation

Youssef, Gamal; Elsherbini, Moutaz; Elkomy, Rasha; Tarek, Ahmad M.

doi:10.1097/01.ebx.0000462325.80302.19

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…HYS is the gold standard method for evaluation of intracavitary lesions; nevertheless, HYS is not a method to investigate TP (9). Several studies suggested that HYS could be used in evaluation of TP if combined with USG (5,17). In this method, the tube is considered patent when the turbulence of the contrast is visualized on the side or in the Douglas pouch.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

Yücel

Demirel

Kelekçi

et al. 2018

Gynecol Obstet Reprod Med

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OBJECTIVE: Our aim was to determine the diagnostic accuracy of office hysteroscopy with hysteroscopic chromotubation findings about tubal patency in comparison with the laparoscopic chromopertubation.STUDY DESIGN: Thirty-four healthy, fertile women who had tubal ligation for contraception and thirty women with unexplained infertility were included to the study. Both fallopian tubes of patients were evaluated for tubal patency with hysteroscopic chromotubation and laparoscopic chromopertubation. Finally, we calculated the accuracy of hysteroscopic chromotubation in diagnosing tubal patency. RESULTS:Hysteroscopic chromotubation was positive in 100 patients, while 91 of these patients had patent tubes and nine had non-patent tubes in laparoscopy. Twenty-eight woman had negative hysteroscopic chromotubation. Thirteen of 28 patients with negative hysteroscopic chromotubation were confirmed with laparoscopically, however remaining 15 patients had patent tubes in laparoscopy. The sensitivity, specificity, positive predictive and negative predictive values for hysteroscopic chromotubation were 85.85%, 59.09%, 91.00%, 46.43%, consequently. CONCLUSION:Hysteroscopic chromotubation could give the chance to practitioners to assess tubal patency during hysteroscopy with high sensitivity and positive predictive value. Conclusions of our study needs to be confirmed with large cohorts from further studies.

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Section: Discussionmentioning

confidence: 99%

Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

Yücel

Demirel

Kelekçi

et al. 2018

Gynecol Obstet Reprod Med

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“…In contrast to these researches, Youssef et al . [ 16 ] demonstrated TVS after HSC is a good outpatient diagnostic tool for detecting at least one patent tube; although, they reported low negative predictive value but high positive predictive value. Although most of the studies verified the high diagnostic value of TVS after HSC, the low number of cases studied in the sparse researches is the limitation of concluding a general rule about it.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy

2018

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Background:Infertility, as one of the most common gynecological disorders, affects many people worldwide. To choose the clinical treatment, correct assessment of tubal patency can provide an important clue; therefore, it is considered as one of the major steps in workup examinations of infertile women. In this study, we aimed to compare the results of transvaginal ultrasonography (TVS) after hysteroscopy (HSC) with laparoscopy, as a gold standard, for assessing the fallopian tubal patency in infertile women.Materials and Methods:This is a cross-sectional study which included 49 infertile women referred to Shahid Beheshti Hospital affiliated with Isfahan University of Medical Sciences during the years 2015 and 2016. At first, patients who met the inclusion criteria were examined through HSC in by a specialist in gynecology and obstetrics in operating room because laparoscopy was performed after TVS with HSC, but HSC was performed without anesthesia. TVS was performed before and after of HSC to observe fluid in the pouch of Douglas. The findings of TVS with HSC and laparoscopy were compared.Results:There was a strong agreement between TVS after HSC and laparoscopy (kappa coefficient = 0.935, 95% confidence interval [CI]: 0.81, 1.00). The sensitivity of TVS after HSC was 100% (95% CI: 66.37, 100) and specificity was 97.50% (95% CI: 86.84, 99.94) with a positive predictive value of 90% (95% CI: 55.50, 99.75) and negative predictive value of 100% (95% CI: 90.97, 100).Conclusion:TVS after HSC is an accurate diagnostic tool for examination of fallopian tubal patency in infertile women.

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Combined transvaginal sonography and diagnostic hysteroscopy in the assessment of tubal patency in infertile women in correlation to laparoscopic chromopertubation

Cited by 2 publications

References 15 publications

Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy

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