Current methods of tubal patency assessment

Saunders, Rhiana D.; Shwayder, James M.; Nakajima, Steven T.

doi:10.1016/j.fertnstert.2011.02.054

Cited by 167 publications

(158 citation statements)

References 60 publications

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“…Based on the outcomes acquired, about 50% of individuals explained only mild discomfort and there were no serious late complications, for instance post procedural fever, acute pelvic infection, or peritonitis. This agreed with previous studies [19]. The pain encountered by the individuals is generally similar to the cramping pain sensed within a normal menstrual cycle.…”

Section: Discussionsupporting

confidence: 91%

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Zhang

et al. 2017

Computer Assisted Surgery

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4-Dimensional hysterosalpingo-contrast sonography (4 D HyCoSy) using SonoVue is regarded as a really good option available for evaluating fallopian tubal patency. This study was designed to assess the pain and adverse effects incurred by women undergoing 4 D HyCoSy. Through evaluating the pelvic pain immediately after 4 D HyCoSy and 30 min after 4 D HyCoSy, the circumstances of the pain relief was also observed. The predictive factors of pain were assessed simultaneously. 827 consecutive women as part of infertility evaluation were included. The pain experienced was then assessed on a 10-cm visual analogue scale (VAS). Each patient was questioned to rate the pain at two different points of time (T1, immediately after 4 D HyCoSy; T2, 30 min after 4 D HyCoSy). 818/827 (98.9%) patients completed the procedure. Pain was experienced by 757/818 (92.5%) of subjects. 30 min after HyCoSy procedure, only 0.5% (4/818) patients feel severe pelvic pain and after 15-30 minutes of rest, these patients were relieved of pain. Age, cycle length, duration of menses, and duration of infertility were not significantly correlated with pain associated with 4 D HyCoSy as assessed by VAS. Women with tubal obstruction experienced a significant increase in 4 D HyCoSy-associated pain. There were significant differences in the degree of pain between different tubal patency (p <0.01). Overall, 4 D HyCoSy, a userfriendly, multidimensional technology, has the advantage of real-time, dynamic, well tolerated, and low serious complications, which make it a good way for evaluating fallopian tubal patency. The technique aids in making choices concerning further procedures for the diagnosis and treatment of infertility. Most of women experience pain associated with the procedure and 30 minute period of observation is useful.

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Section: Discussionsupporting

confidence: 91%

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Zhang

et al. 2017

Computer Assisted Surgery

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“…Hysterosalpingography (HSG) and laparoscopic surgery (LS) are the two most important diagnostic procedures for the detection of causes of infertility (5). Given the noninvasive nature and cost-effectiveness of HSG, it is widely used as the first-line approach for the assessment of the patency of the fallopian tubes and uterine anomalies in the routine fertility workup.…”

Section: Introductionmentioning

confidence: 99%

Comparison of hysterosalpingography and laparoscopy in evaluation of female infertility

Gharekhanloo

Rastegar

2017

MRAJ

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Background and Objectives: Laparoscopic surgery (LS) is the most important diagnostic technique for the detection of causes of infertility; however, this method is accompanied by some setbacks. Given the noninvasive nature and cost-effectiveness of hysterosalpingography (HSG), it is widely used as the first-line approach for the evaluation of the patency of the fallopian tubes and uterine anomalies in female infertility. Herein, we aimed to compare the diagnostic values of HSG with LS in the assessment of patency of the fallopian tubes and peritoneal disease in infertile women. Materials and Methods Results:The sensitivity, specificity, and accuracy of HSG for the detection of unilateral and bilateral tubal occlusion were 75%, 91.2%, 89.5%, 75%, 97.2%, and 96.6%, respectively. Furthermore, false-positive and false-negative rates of HSG for the detection of unilateral and bilateral tubal occlusion were 8.7% and 25%, respectively. The accuracy of HSG in detecting uterine anomalies and hydrosalpinx were 93.3% and 93.9%, respectively. Peritubal adhesion and TOA were detected in 61% of the cases with normal HSG. In addition, of the nine cases of bilateral tubal occlusion detected by HSG, six cases were confirmed to have bilateral occlusion using laparoscopy. The comparison between HSG and LS techniques showed a significant difference in diagnosis of distal fallopian tube occlusion (P=0.021) and unilateral fallopian tube occlusion (P<0.001) among infertile women. The comparison between HSG and LS techniques demonstrated a significant difference in diagnosis of TOA (P<0.001) and peritubal adhesion (P=0.033). Conclusion:It seems that the findings of HSG regarding occlusion, hydrosalpinx, and uterine anomalies are reliable. However, due to its low sensitivity in detecting peritubal adhesion, performing LS before initiation of treatment in these patients is necessary to rule out adhesion and to confirm tubal patency.

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“…Saline sonohysterography has the advantages of being quick, easy, safe and well tolerated method for assessing both the uterine cavity and the fallopian tubes [11], in addition to, 96% agreement with hysteroscopy in the diagnosis of growing focal lesions in the study done by [12].…”

Section: Discussionmentioning

confidence: 99%

The Role of Saline Sonohysterography Prior to IVF/ICSI and its Impact on Assisted Reproduction Program Outcome in Egyptian Community

Torky¹,

Moussa²

2016

Reproductive Immunol Open Acc

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Aim: To assess the incidence of undiagnosed intrauterine pathology based on saline sonohysterography in women with normal transvaginal ultrasound and their impact on the success rate of Intracytoplasmic sperm injection in Egyptian community.Patients and methods: Two hundred qualified patients scheduled for first time Intracytoplasmic sperm injection treatment were divided into 2 groups each containing 100 patients. Group 1 did saline sonohysterography and cases with intrauterine lesions were treated by hysteroscopy prior to undergoing Intracytoplasmic sperm injection, while group 2 did Intracytoplasmic sperm injection without prior saline sonohysterography. The main outcome measures were undiagnosed intrauterine abnormalities as uterine anomalies and polyps, in addition to, pregnancy, miscarriage and on-going pregnancy rates.Results: Uterine lesions were found in 35% of cases undergoing sonohysterography, and 27 out of the 35 cases were treated by hysteroscopy. A significant difference in pregnancy rate and on-going pregnancy rate in favour of the sonohysterography group (P=0.04) and (P=0.031) respectively. Conclusion:Saline sonohysterography is a non-invasive method for the diagnosis of uterine abnormalities improving the outcome of IVF/ICSI cycles.

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Current methods of tubal patency assessment

Cited by 167 publications

References 60 publications

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Comparison of hysterosalpingography and laparoscopy in evaluation of female infertility

The Role of Saline Sonohysterography Prior to IVF/ICSI and its Impact on Assisted Reproduction Program Outcome in Egyptian Community

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