Comparison between transvaginal sonography after diagnostic hysteroscopy and laparoscopic chromopertubation for the assessment of tubal patency in infertile women

Habibaj, Julian; Kosova, Halim; Bilali, Sokol; Bilali, Valbona; Qama, Diana

doi:10.1002/jcu.20883

Cited by 17 publications

(32 citation statements)

References 22 publications

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“…In 36 of these cases, unilateral or bilateral tubal patency was confirmed by DL. In 17 of the remaining 19 case .In contrary to the reported finding (19) In contrary to the reported finding ; Bulletti CB investigated the exclusion of pelvic factor of infertility through the same tests, namely SHSG, HSG and laparoscopy In their study endometriosis was diagnosed laparoscopically in 344 out of 1080women. Only 44 women (13%) with endometriosis showed bilateral tubal block (20) 68 infertile patients underwent hysterosonosalpingography using saline as contrast medium, and then further assessment by laparoscopy and hysteroscopy were performed to them Sensitivity and specificity of hysterosonosalpingography for the assessment of tubal patency was 100% and66% respectively.…”

Section: Discussion:-mentioning

confidence: 78%

Sonohysterography Versus Laparoscopic Chromopertubation for the Assessment of Tubal Patency in Infertile Women.

Almashed¹,

Farag²,

Morad³

et al. 2016

IJAR

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Objectives:-.In this study, our goal was to determine the diagnostic value of SHG for the diagnosis of tubal obstruction by comparison of SHG and laparoscopic results. Methods:-This study was based on the assessment of tubal patency by SHG and by the laparoscopy in 50 patients. All patients underwent HSG as a routine infertility workup, SHG was performed then laparoscopy was done subsequently. Results:-patients with HSG findings are21of fallopian tube occluded(42.0%) and 29 patent(58.0%). Fifty patients underwent SHG. In 34 patients (68%), at least 1 fallopian tube was patent, and 6 patients (12%) were reported to have bilateral tubal obstruction. All 50 patient underwent laparoscopic evaluation its finding is 32of fallopian tube are patent(64%) and 18 of fallopian tube are blocked(36%) 7of patient of bilateral block and1of unilateral block Conclusions:-Sonohysterography is not an accurate method for the determination of fallopian tube patency .but It is a simple, safe, and welltolerated technique with a low risk of adverse effects and severe complications .laparoscopy is an accurate method for the assessment of fallopian tube patency.

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Section: Discussion:-mentioning

confidence: 78%

Sonohysterography Versus Laparoscopic Chromopertubation for the Assessment of Tubal Patency in Infertile Women.

Almashed¹,

Farag²,

Morad³

et al. 2016

IJAR

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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%

“…Laparoscopy (LPS) provides both a panoramic view of the pelvic reproductive anatomy and a magnified view of the uterine, ovarian, tubal, and peritoneal surfaces. Laparoscopic chromopertubation (LCT) (introducing methylene blue into the uterine cavity being injected through the cervical canal by a cannula during the procedure and then observation as it comes out of the ends of the tubes into the peritoneal cavity) is considered to be the gold standard for TP (5). However, LPS is an invasive surgical procedure, requires general anesthesia, provides no information regarding the uterine cavity and involves the usual risks of surgery (6).…”

Section: Introductionmentioning

confidence: 99%

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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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“…During hysteroscopy, the uterine cavity is viewed at a 30-degree angle, which allows for visualization of both mouths of the fallopian tube, fundus, anterior and posterior wall of the uterus as well as the lateral sides of the uterine cavity (10). At the height of the internal uterine mouth with the hysteroscope, a panoramic image of the uterine cavity is displayed, and the presence of any pathological findings, such as endometrial polyps (which are often observed), submucosal fibroids, septa, and adhesions, can be easily visualized.…”

Section: Methodsmentioning

confidence: 99%

Analysis of Glycodelin Levels Before and After Hysteroscopic Polypectomy in Infertile Patients

Sorak

Dević

2018

Serbian Journal of Experimental and Clinical Research

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Glycodelin (or placental protein 14) is a glycoprotein located in the glandular and thin epithelium of the endometrium. It is considered an important factor in the implantation process, and its traces can be found in elevated concentrations in the uterine fl ushing obtained at the time of implantation, while in the prolif ANALYSIS OF GLYCODELIN LEVELS BEFORE AND AFTER HYSTEROSCOPIC POLYPECTOMY IN INFERTILE PATIENTS

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Comparison between transvaginal sonography after diagnostic hysteroscopy and laparoscopic chromopertubation for the assessment of tubal patency in infertile women

Abstract: TVS performed directly after diagnostic hysteroscopy in infertile patients provides additional nformation regarding tubal patency.

Cited by 17 publications

References 22 publications

Sonohysterography Versus Laparoscopic Chromopertubation for the Assessment of Tubal Patency in Infertile Women.

Sonohysterography Versus Laparoscopic Chromopertubation for the Assessment of Tubal Patency in Infertile Women.

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

Analysis of Glycodelin Levels Before and After Hysteroscopic Polypectomy in Infertile Patients

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