Predictive value of bubble sign for tubal patency during office hysteroscopy

Lőrincz, Judit; Molnár, Szabolcs; Herman, Tünde; Vitale, Salvatore Giovanni; Jashanjeet, Singh; Lampé, Rudolf; Kardos, Lászĺo; Török, Péter

doi:10.1016/j.ejogrb.2020.07.048

Cited by 4 publications

(20 citation statements)

References 15 publications

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“…In this study, the mean age was 31.52 years with a standard deviation of 5.5 years, and the mean BMI was 27.5 kg/m2 with a standard deviation of 3.6. Our findings were consistent with those of Lörincz et al [3] , where sixty-one patients participated with a mean age of 32.0 ± 4.36 years and an average BMI of 22.7 ± 4.19 kg/m2.…”

Section: Discussionsupporting

confidence: 93%

“…The obstruction of the Fallopian tubes is the most prevalent cause of infertility. Assessing tubal patency is the initial step in fertility evaluation; thus, the appearance of air bubbles during hysteroscopy serves as a secondary indicator of tubal patency [3] .…”

Section: Discussionmentioning

confidence: 99%

“…The gold standard for a test to see if the tubes are open is laparoscopic chromohydrotubation. This is the most exact test, but it costs a lot to do because it needs an operating room, a staff, and a hospital stay [3] .…”

Section: Introductionmentioning

confidence: 99%

“…Transvaginal hydro-laparoscopy [TVHL] offers similar advantages to laparoscopy and can be performed outside of a hospital setting, resulting in cost savings related to operating room and hospital expenses [4] . Nonetheless, novel outpatient techniques for assessing tubal patency exhibit high negative predictive values and are recommended as the primary approach to determine the cause of female infertility [3] .…”

Section: Introductionmentioning

confidence: 99%

“…Research studies have been conducted to investigate this phenomenon and ascertain the accuracy of the bubble sign [5] . The presence of a discernible "flow" of air bubbles in the fallopian tubes during hysteroscopy served as a reliable indicator of tubal patency, exhibiting a satisfactory sensitivity and specificity rate [3] . Therefore, the primary objective of this study is to examine the predictive utility of the visible air bubble sign in determining actual tubal patency during hysteroscopic procedures.…”

Section: Introductionmentioning

confidence: 99%

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Hysteroscopic Evaluation of Tubal Patency Using Bubble Sign in Comparison to Diagnostic Laparoscopy

Ismaeil,

El-Bassioune,

Megahed

2024

International Journal of Medical Arts

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Article informationBackground: Tubal patency assessment is vital in infertility evaluation. The bubble sign observed during hysteroscopy has emerged as a potential indicator of tubal patency, offering a less invasive alternative to diagnostic laparoscopy. Aim of the work:This study aimed to compare the efficacy of hysteroscopy utilizing the bubble sign with diagnostic laparoscopy in evaluating tubal patency. Patients and Methods:A prospective study was conducted on 100 patients undergoing infertility evaluation. Hysteroscopy with the observation of the bubble sign and diagnostic laparoscopy were performed to assess tubal patency. Sensitivity, specificity, positive predictive value [PPV], and negative predictive value [NPV] of the bubble sign in comparison to laparoscopy were calculated.Results: Positive predictive value of hysteroscopy was estimated to be 94.2% [87.6%-99.9%] and negative predictive value was estimated to be 87.5% [81.4%-92.8%]. When the laparoscopic method was used as a standard, the accuracy of the hysteroscopic method was 91.5% [85.1%-97%] overall. Conclusion:Hysteroscopic evaluation using the bubble sign proved to be a reliable method for assessing tubal patency, comparable to diagnostic laparoscopy. The non-invasive nature of hysteroscopy and its accuracy in determining tubal patency make it a promising tool in infertility investigations, potentially reducing the need for more invasive procedures.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hysteroscopic Evaluation of Tubal Patency Using Bubble Sign in Comparison to Diagnostic Laparoscopy

Ismaeil,

El-Bassioune,

Megahed

2024

International Journal of Medical Arts

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The Role of Hysteroscopy in the Assessment of Fallopian Tubal Patency: A Comprehensive Review and Meta-analysis

Hager,

Ott

2024

Geburtshilfe Frauenheilkd

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Hysteroscopy has been recognized as a reliable method for the evaluation of female infertility for several years. The outpatient setting is particularly convenient, as patients do not require general anesthesia and do not have to stay overnight. In recent years, more and more articles have dealt with the role of diagnostic hysteroscopy in tubal evaluation. Twenty-four articles were included in this comprehensive review and 14 of them were also included in a meta-analysis. This review provides an overview of the different techniques of hysteroscopic tubal evaluation, with a focus on perioperative changes in cul-de-sac volume, the air bubble technique (“Parryscope” technique), the Flow technique and selective hysteroscopic pertubation with methylene blue dye (SHPMBD). In pooled analyses, SHPMBD achieved the highest sensitivity for tubal patency (91.7%, 95% confidence interval, CI: 88.8–94.0), whereas the air bubble technique revealed the highest specificity of all methods (98.4, 95% CI: 95.3–99.6). Furthermore, in a meta-analysis of all methods on the assessment of single tubes, an overall sensitivity of 87.1% and an overall specificity of 79.8% (95% CI: 76.4–82.9) could be shown. In conclusion, the techniques of hysteroscopic tubal evaluation are well-tolerated, clinically relevant, and reliable.

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Darwish Hysteroscopic Triad: A Missed Anatomic Landmark

Darwish

2021

Journal of Gynecologic Surgery

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Predictive value of bubble sign for tubal patency during office hysteroscopy

Cited by 4 publications

References 15 publications

Hysteroscopic Evaluation of Tubal Patency Using Bubble Sign in Comparison to Diagnostic Laparoscopy

Hysteroscopic Evaluation of Tubal Patency Using Bubble Sign in Comparison to Diagnostic Laparoscopy

The Role of Hysteroscopy in the Assessment of Fallopian Tubal Patency: A Comprehensive Review and Meta-analysis

Darwish Hysteroscopic Triad: A Missed Anatomic Landmark

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