Comparison of three‐dimensional hysterosalpingo‐contrast‐sonography and diagnostic laparoscopy with chromopertubation in the assessment of tubal patency for the investigation of subfertility

Abstract

This study confirmed the feasibility of using 3D-HyCoSy as an initial investigation for tubal patency.

Three-Dimensional Hysterosalpingo-Contrast-Sonography for the Assessment of Tubal Patency in Women with Infertility: A Systematic Review with Meta-Analysis

“…One study using 2D-HyCoSy as reference standard was excluded because a 2 × 2 table could not be constructed [8]. Therefore, 9 studies were ultimately included in this systematic review [13,14,15,16,17,18,19,20,21]. No additional studies were found from references cited in the papers included in the review.…”

“…Regarding applicability, all the studies applied clear inclusion criteria for patient selection. Two studies posed problems with index test applicability, as description of the same was confusing [17,18]. Finally, there were 3 studies that created concerns regarding reference standard applicability as they used HSG [14,16] or 2D-HyCoSy [13] and not laparoscopy.…”

“…All the studies were prospective. Regarding contrast agent, 2 studies used sterile saline solution [14,16], 3 used a galactose solution (Echovist, ScheringAG, Berlin, Germany) [15,17,18] and 4 used sulphurhexafluoride solution (SonoVue, Bracco, Milan, Italy) [13,19,20,21]. Patients' age ranged between 19 and 42.…”

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

“…8 In recent years, with the development of ultrasound imaging technology, threedimensional (3D) or four-dimensional (4D) HyCoSy is widely studied in the diagnostic work-up of infertile females. However, the results of each study for 3D/4D HyCoSy were inconsistent [9][10][11][12] and the inadequate sample size in the individual study could not attain the precise outcome.…”

The Use of a New Gel Foam for the Evaluation of Tubal Patency

“…X-ray oil- or water-based contrast agents in X-ray hysterosalpingography (HSG), methylene blue for chromopertubation during laparoscopy and air- or water-based contrast agents in hysterosalpingo-contrast sonography (HyCoSy) [1,2,3,4,5]. X-ray HSG has the disadvantages of radiation exposure (on average 1-5 mSy but depending on the fluoroscopy time) and of potential allergy to the contrast agent.…”