Hysterosalpingography in tubal obstruction and infertility

Finola, George C.

doi:10.1016/0002-9378(64)90062-6

Cited by 7 publications

(1 citation statement)

References 6 publications

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“…Buxton and Southam (1958) found that 8 out of 71 patients and Behrman and Poppy (1957) that 6 out of 38 patients with apparent tubal occlusion on hysterosalpingography became pregnant without treatment. This and what is known about tubal spasm helps to throw some doubt on the claims that single or repeated hysterosalpingography alone (Grant and McKey, 1948;Funola, 1964;Roland, 1968) particularly with an oily contrast medium (Green-Armytage, 1943 ; Gillespie, 1965;Wahby et al, 1966) or in combination with carbon dioxide insufflation (Roland, 1963), had a therapeutic effect.…”

Section: Discussionmentioning

confidence: 99%

Tubal Sterility: Patency Tests and Results of Operation

Boyd

Holt

1973

BJOG

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Summary Part I: Patency tests The records were reviewed of 294 patients who had a laparoscopy or laparotomy following a hysterosalpingogram which showed tubal obstruction or peritubal adhesions. A single hysterosalpingogram seemed unreliable particularly in the diagnosis of intratubal block. Laparoscopy was a useful supplement to hysterosalpingogram and often demonstrated patency in tubes which radiologically had shown “fill but no spill”. Sometimes the site of tubal obstruction varied with the patency test employed. Part II: Results of operation In 197 patients there were 32 pregnancies, of which 10 were extrauterine. Success was related to the extent of tubal damage more than to operative technique or postoperative management.

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Section: Discussionmentioning

confidence: 99%