Proximal Tubal Patency Demonstrated Through Air Infusion During Flexible Office Hysteroscopy Is Predictive of Whole Tubal Patency

Parry, John; Riche, Daniel M.; Aldred, J. P.; Isaacs, John D.; Lutz, Elizabeth A.; Butler, Vicki; Shwayder, James M.

doi:10.1016/j.jmig.2017.02.010

Cited by 21 publications

(60 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of our study are in agreement with two previous studies which evaluated the accuracy of diagnostic hysteroscopic bubble test in detection of tubal patency . 12,3 Parry conducted a prospective study to determine if air bubbles filled with saline during flexible diagnostic hysteroscopy will accurately predict tubal patency. The authors reported that the hysteroscopic approach has 98.3% sensitivity and 83.7% specificity in detection of tubal patency.…”

Section: Discussionmentioning

confidence: 99%

“…The authors reported that the hysteroscopic approach has 98.3% sensitivity and 83.7% specificity in detection of tubal patency. 12 A prospective study including 85 infertile patients compared the diagnostic accuracy of diagnostic hysteroscopy bubble test with HSG and laparoscopy. In 78 cases (91.7 %) the diagnostic hysteroscopic bubble test was feasible.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Diagnostic Hysteroscopy as a Tool for Diagnosis of Tubal Factor of Infertility in Comparison to Diagnostic Laparoscopy

Hefny

eldin

Abdel-Aziz

2020

Al-Azhar International Medical Journal

View full text Add to dashboard Cite

Background: Fallopian tube obstruction is believed to play a role in 12-33% of subfertile couples. Therefore, the patency evaluation of fallopian tubes is a significant part of subfertile couple's work. Aim of the work: This work aims at comparing the sensitivity and specificity of the hysteroscopic assessment of tubal patency by the bubble test to diagnostic laparoscopy and hysterosalpingogram in infertile patients. Patients and Methods: A total of 100 women were recruited to the study during the period between January 2020 and June 2020. 100 patients underwent a diagnostic hysteroscopy followed by laparoscopy. Each Fallopian tube has been considered to be an individual case. Patency was evaluated in 200 Fallopian tubes. Results: A polyp was detected at three tubal orifice. Hyperemia was detected around two tubal orifice. Adhesions were detected at one tubal orifice. The tubes were patent in 113 cases with both methods. In 70 cases both laparoscopy and hysteroscopy found occluded tubes. The tubes were patent by laparoscopic dye in 10 cases, but could not be detected by hysteroscopy as such. Occlusion was observed by laparoscopy in 7 cases but patency was detected during hysteroscopy. Of the non-patent cases, 70 out of 77 laparoscopic findings were consistent with the hysteroscopic result, yielding a specificity estimate of 90.9% (95% CI 84.5% to 96.4%). Conclusion: Based on statistical analysis (sensitivity and specificity) of our data, diagnostic hysteroscopic bubble test is accurate and reliable compared to the laparoscopic test, which is considered a global standard criterion.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Diagnostic Hysteroscopy as a Tool for Diagnosis of Tubal Factor of Infertility in Comparison to Diagnostic Laparoscopy

Hefny

eldin

Abdel-Aziz

2020

Al-Azhar International Medical Journal

View full text Add to dashboard Cite

show abstract

“…With or without using Doppler techniques, 3D-HyFoSy does not seem to offer benefits above real-time 2D-HyFoSy performed by an ultrasonographer who is familiar with pelvic anatomy (Figure 1). The clear white line indicating foam passage through the proximal part of the tube is sufficient evidence for the absence of a distal occlusion as is known from studies using hysteroscopy and air bubbles [25]. Anyway, from the nine clinical studies [15–24], it can be concluded that HyFoSy appears to be accurate and well-tolerated first-line diagnostic procedure and the 3D-HyFoSy technique is helpful for a less experienced operator.…”

Section: 3-dimensional Ultrasound and Doppler Flow Techniquesmentioning

confidence: 87%

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

Exalto

Emanuel

2019

BioMed Research International

View full text Add to dashboard Cite

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.

show abstract

“…Inclusion criteria encompassed articles in the English language with the primary topic being diagnostic accuracy of hysteroscopic methods for evaluation of Fallopian tube patency. Four relevant articles were identified [4,5,7,8]. See ▶ Table 1 for an overview about reviewed studies.…”

Section: Methodsmentioning

confidence: 99%

“…A comparable technique was used in a recently published prospective study. Parry et al evaluated the accuracy of an air-bubbling ("Parryscope technique") effect during the flow of the hysteroscopic fluid through the ostia, provoked by an air-infusion into the uterine cavity [8]. The technique enabled the researchers to provide an even more precise statement about tubal patency.…”

Section: The Value Of Hysteroscopic Visualization Of the Fallopian Tumentioning

confidence: 99%

The Role of Diagnostic Hysteroscopy in the Evaluation of Fallopian Tube Patency: a Short Review

Hager

Simek

Promberger

et al. 2019

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

The relevance of diagnostic hysteroscopy, especially when performed in an outpatient “office” setting, in the evaluation process of infertility has increased within the last few years. Notably, several articles on a possible role for diagnostic hysteroscopy in the assessment of Fallopian tube patency have been published recently. Three relevant articles were identified. Visualizing a “flow effect” or air bubbles dispersing through the ostia, sonographically assessed shifts in cul de sac volume, and selective Fallopian tubal cannulation are reportedly promising hysteroscopic techniques. In this review, an overview of hysteroscopy, details about diagnostic reliability, and considerations with regard to ease of use and difficulties are summarized. Based on these articles, hysteroscopic evaluation of tubal patency seems to be a promising, clinically relevant field for future clinical research.

show abstract

Proximal Tubal Patency Demonstrated Through Air Infusion During Flexible Office Hysteroscopy Is Predictive of Whole Tubal Patency

Cited by 21 publications

References 7 publications

Evaluation of Diagnostic Hysteroscopy as a Tool for Diagnosis of Tubal Factor of Infertility in Comparison to Diagnostic Laparoscopy

Evaluation of Diagnostic Hysteroscopy as a Tool for Diagnosis of Tubal Factor of Infertility in Comparison to Diagnostic Laparoscopy

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

The Role of Diagnostic Hysteroscopy in the Evaluation of Fallopian Tube Patency: a Short Review

Contact Info

Product

Resources

About