Hysterosalpingography: A Reemerging Study

Simpson, William; Beitia, L.; Mester, Jolinda

doi:10.1148/rg.262055109

Cited by 195 publications

(119 citation statements)

References 11 publications

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“…The fallopian tubes are the initial sites of infection in majority of cases (1). In most cases, tuberculous involvement of the fallopian tube occurs by the hematogenous route from a TB focus elsewhere, usually pulmonary or osseous, leading to endosalpingitis (4). There can also be direct involvement of the peritoneal surface of the tubes from an adjacent intra-abdominal or peritoneal focus, leading to exosalpingitis (5).…”

Section: Fallopian Tube and Peritubal Tb Pathophysiologymentioning

confidence: 99%

Hysterosalpingography and ultrasonography findings of female genital tuberculosis

Shah

Sannananja²,

Baheti³

et al. 2015

Diagn Interv Radiol

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Genital tuberculosis (TB) is an important cause of female infertility in the world, especially in developing countries. Majority of infertility cases are due to involvement of the fallopian tubes (92%-100%), endometrial cavity (50%), and ovaries (10%-30%); cervical and vulvovaginal TB are uncommon. Genital TB has characteristic radiological appearances based on the stage of the disease process (acute inflammatory or chronic fibrotic) and the organ of involvement. Hysterosalpingography (HSG) and ultrasonography (US) remain the main imaging modalities used in the diagnosis of genital TB. HSG is the primary modality for evaluating uterine, fallopian tube, and peritubal involvement and also helps in evaluating tubal patency. US, on the other hand, allows simultaneous evaluation of ovarian and extrapelvic involvement.

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Section: Fallopian Tube and Peritubal Tb Pathophysiologymentioning

confidence: 99%

Hysterosalpingography and ultrasonography findings of female genital tuberculosis

Shah

Sannananja²,

Baheti³

et al. 2015

Diagn Interv Radiol

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“…Peritubal adhesions prevent contrast material from spilling into the abdominal cavity and distributing freely. 5,6 HSG also has a role in evaluating the uterine cavity and cervix, as uterine cavity abnormalities can be a contributing cause of subfertility in women. Abnormal uterine findings are reported in as many as 50 % of women with recurrent implantation failure.…”

Section: Introductionmentioning

confidence: 99%

Hysterosalpingography findings among women presenting for gynecological imaging in Ado-Ekiti, South western Nigeria

Aduayi

Akanbi

Akintayo

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…This was irrespective to either the laterality of the tubal block (unilateral vs. bilateral) or to the site of the tubal block (distal vs proximal). Likewise, patients with blocked tubes experienced more pain during HSG 31 and during hysterosalpingo-contrast sonography 32 . Although these techniques differ than hysteroscopy, they all aim to distend the uterine cavity by instillation of fluid.…”

Section: Discussionmentioning

confidence: 96%

Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study

2017

Evidence Based Women's Health Journal

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Objective: To study the impact of tubal blockage on pain experienced during and immediately after diagnostic outpatient hysteroscopy. Study design: A prospective comparative study (Canadian Task Force Classification II-2). Setting: Outpatient hysteroscopy clinic at a University Hospital. Patients and Methods:We included 140 women in the childbearing period attending outpatient hysteroscopy clinic for infertility or recurrent miscarriage. Patients were divided into two equal groups; Group-A included those with unilateral or bilateral tubal block (n=70) and Group-B included those with patent tubes on both sides (n =70). All patients had diagnostic outpatient hysteroscopy without the use of anaesthesia or analgesia. Outcomes measured included pain experienced during and immediately after the procedure assessed using a 100 mm -Visual Analogue Scale (VAS) and the successful completion of the procedure. Results: Patients with blocked tubes experienced statistically significant more pain than those with patent tubes both during and immediately after the procedure using a uterine filling pressure of 80 -100 mmHg. However, all procedures were successfully completed with no failures or complications. Conclusion: Blocked Fallopian tubes contribute to pain during and immediately after outpatient hysteroscopy when a uterine filling pressure of 80-100 mmHg is used. However, this didn't adversely affect the success rate of the procedure. For this group of patients, strategies to improve patients' satisfaction need to be studied with a special attention for; the use of lower uterine filling pressures, shortening the procedure duration and/or the use of preemptive analgesics.

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Hysterosalpingography: A Reemerging Study

Cited by 195 publications

References 11 publications

Hysterosalpingography and ultrasonography findings of female genital tuberculosis

Hysterosalpingography and ultrasonography findings of female genital tuberculosis

Hysterosalpingography findings among women presenting for gynecological imaging in Ado-Ekiti, South western Nigeria

Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study

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