Power Doppler flow mapping and four-dimensional ultrasound for evaluating tubal patency compared with laparoscopy

Soliman, Amr A.; Shaalan, Waleed; Abdeldayem, Tamer Mamdouh; Awad, El-sayed El-badawy; Elkassar, Yasser; Lüdders, D.; Malik, Eduard; Sallam, Hassan

doi:10.1016/j.ejogrb.2015.09.039

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…The mixture of air and saline solution was slowly injected, and tubal patency was established by the visualization of the echogenic flow of the solution through the patent tubes and its expansion in the adjacent ovaries and in the peritoneal cavity . Power Doppler can also detect the flow of saline through the tubes …”

Section: Methodsmentioning

confidence: 99%

“…We define tubal patency as spillage of saline solution or gel foam from the fimbria end seen as fluid flow surrounding the ovary and its collection in pelvis on B‐mode scanning. We used two criteria to assess tubal patency on power Doppler: detection of steady color Doppler signals in a segment of the tube and detection of spill at fimbria end . We defined tubal blockage as absence of spillage …”

Section: Methodsmentioning

confidence: 99%

“…Sono‐HSG is performed as an office procedure with standard endovaginal sonographic (US) equipment . The contrast medium is a solution of galactose and 1% palmitic acid (Echovist) introduced in the early 1980s or a mixture of saline solution and air.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sonohysterosalpingography: Comparison of foam and saline solution

Piccioni

Riganelli

Filippi

et al. 2016

J of Clinical Ultrasound

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Sonohysterosalpingography: Comparison of foam and saline solution

Piccioni

Riganelli

Filippi

et al. 2016

J of Clinical Ultrasound

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“…HyCoSy with saline (and air) is, in comparison to HyFoSy, more observer-dependent due to the fact that the hyperechoic characteristics are usually lost within a short time and the inability to examine the whole course of the Fallopian tube in one scanning plane [7]. In attempts to overcome these problems 3-dimensional ultrasound (3D-US) and Doppler techniques [21] were introduced. As the hyperechoic characteristics of HyFoSy are much more stable, there is more time for routine 2D ultrasound.…”

Section: 3-dimensional Ultrasound and Doppler Flow Techniquesmentioning

confidence: 99%

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

Exalto

Emanuel

2019

BioMed Research International

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Background. Tubal patency testing is an essential part of female subfertility evaluation. Traditionally, hysterosalpingography (HSG) was the first step to evaluate tubal patency. However, during the past decade Hysterosalpingo-Contrast Sonography (HyCoSy) was introduced in order to avoid radiation exposure and Hysterosalpingo-Foam Sonography (HyFoSy) has been developed as a safe and less painful alternative. Objectives and Rationale. The aim of this narrative review is to provide an overview of the currently available HyFoSy literature and related clinical aspects. Search Methods. A literature search was conducted using PubMed and Embase from the introduction of HyFoSy to March 2019. Unfortunately, a meta-analysis was not possible due to a too small number of studies, being mutually incomparable for the various subjects of clinical aspects, even for the reliability as a test for tubal patency. Outcomes. Nine small studies concluded that the accuracy and effectiveness as a test for tubal patency of 2D- and 3D-HyFoSy are comparable or even better than HSG or HyCoSy. With or without using Doppler techniques, 3D-HyFoSy does not seem to offer benefits above real-time 2D-HyFoSy. Five studies reported on pain and discomfort during HyFoSy, concluding that HyFoSy is a well-tolerated, less painful procedure compared to HSG, without a need for the use of analgesics. There are suggestions about an increased pregnancy rate in the first three cycles after the procedure but in no studies pregnancy outcome after HyFoSy was compared with other or no intervention. Wider Implications. HyFoSy is a promising and safe alternative for HSG with regard to accuracy and effectiveness. HyFoSy lacks radiation and iodine exposure and is a well-tolerated and less painful procedure than HSG, without the need for analgesics. However more research is needed to make clear statements regarding a therapeutic effect of HyFoSy.

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“…According to patient feedback, the main drawback of 4D‐HyCoSy is pain during and after the process. To date, most investigations have focused on the sensitivity and specificity of 4D‐HyCoSy in terms of diagnostic performance, and pain suppression (typically, a 1‐mL injection of atropine [0.5 mg]) with 4D‐HyCoSy remains poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Use of atropine in four‐dimensional hysterosalpingo‐contrast sonography: Does it suppress pain during infertility examination?

et al. 2018

Clin Exp Pharma Physio

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This study aimed to ascertain if atropine is useful for suppressing the pain suffered during four-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy) when assessing infertility in women. A total of 252 patients were divided into 2 groups to receive or not receive atropine (0.5 mg) injection 30 minutes before 4D-HyCoSy. Pain was evaluated using a numerical rating scale (NRS): during 4D-HyCoSy; upon 2-dimensional transvaginal sonography; before catheter insertion; upon insertion and fixation of the catheter into the uterine cavity; 30 minutes after 4D-HyCoSy. According to the degree of patency of Fallopian tubes, the 6 patterns observed were integrated further into 3 patient groups: all-negative (both Fallopian tubes were negative), positive-and-negative (one Fallopian tube showed patency and the other showed stenosis or non-patency), and all-positive (both Fallopian tubes showed stenosis or non-patency). We compared the NRS scores and prevalence of side-effects other than pain between the atropine-injection and non-atropine-injection groups within the three groups mentioned above. The NRS score showed no significant differences among the groups at any time point (all P > .05). The different prevalence of side-effects other than pain was significant between the atropine-injection and atropine-non-injection groups (P = .012). These data suggest that atropine does not reduce pain in patients during 4D-HyCoSy. However, atropine may reduce the prevalence of other side-effects during 4D-HyCoSy, which needs a further, large, prospective, multi-cohort study to verify.

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Power Doppler flow mapping and four-dimensional ultrasound for evaluating tubal patency compared with laparoscopy

Cited by 5 publications

References 20 publications

Sonohysterosalpingography: Comparison of foam and saline solution

Sonohysterosalpingography: Comparison of foam and saline solution

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

Use of atropine in four‐dimensional hysterosalpingo‐contrast sonography: Does it suppress pain during infertility examination?

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