Die transvaginale Hysterokontrastsonographie (HKSG)

Abstract

In 30 patients with sterility problems, menstrual irregularities, and/or suspected tumor the uterine wall was evaluated by transvaginal hystero-contrast-sonography (CoSy). These findings were compared with those of hysterosalpingography (HSG) or chromo-laparoscopy which were done during the same anesthesia. In 6 patients there was no coincidence, and additional information of relevance could be achieved by the other procedure. One case of submucous and an other of intramural fibroid were exactly differentiated by the transvaginal CoSy. This was not possible by the HSG. In addition two large intramural fibroids were exactly localized by CoSy, where as this couldn't be demonstrated endoscopically. Two uteri arcuati have not been seen by CoSy, but were recognized by HSG. So we recommend the transvaginal CoSy of the uterus as a pretherapeutic procedure for the differentiation and localization of intracavital and myometrial findings. At least at moment it seems to be that the image of light uterine malformations could be better demonstrated by conventional diagnostic methods.

Transvaginal Hysterosonography for Differential Diagnosis between Submucous and Intramural Myoma

“…Deichert et al [4] first demonstrated that transvaginal hysterocontrast sonography was useful for diagnosing endometrial lesions. They used HSG set and contrast medium.…”

“…Gynecologists may misclassify the patients with submu cous myomas at the time of pelvic examinations. Trans vaginal ultrasound was reported to be useful for the diagnosis of endometrial neoplasm in presymptomatic women [ 1 ] and also for submucous myoma [2], Moreover, endoluminal ultrasound was also reported to be useful for the diagnosis of endometrial lesions [3], Deichert et al [4] first demonstrated that transvaginal hysterocontrast son ography was useful for the diagnosis of endometrial lesions. Following this study Bonilla-Musoles et al [5] reported hysterosalpingosonography using saline as a diagnostic tool for uterine endometrial lesions and com pared this method with hysteroscopy and hysterosalpingography.…”

Tubal Flushing Treatment for Unexplained Infertility

“…Deichert was the first to do so in 1986, and introduced the sonographic tubal patency test HyCoSy. [24][25][26] During HyCoSy, an echogenic contrast medium (Echovist; galactose microparticles; Bayer Schering Pharma AG, Berlin, Germany) is infused into the uterine cavity. At the same time, a transvaginal ultrasound examination is performed to examine the uterine cavity, and to observe whether or not flow of contrast is seen through the Fallopian tubes into the abdominal cavity.…”

Kontrastgebende Medien in der vaginosonographischen Uterus- und Tubendiagnostik

“…Method: Following the introduction of an intrauterine ballon catheter, the contrast agent (Echovist '") is slowly injected into the cavity and tracked using ultrasound as it passes through the tubes. The technique is well tolerated as an outpatient method, and takes about 15 to 20 minutes to perform. Results: In a clinical trial with infe rtile women we compared the resu lts of HyCoSy to laparoscopy and dye.…”