Role of Sonohysterography in Evaluatingthe Spectrum of Endometrial Pathologies

Mohan, Sureendhar; Sri, Dhivya; Natarajan, Paarthipan; Gottumukkala, Kiran; K.V, Rajasekhar

doi:10.9790/0853-1603094053

Cited by 2 publications

(2 citation statements)

References 1 publication

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“…Saline infusion Sonohysterography is a simple procedure that has a good diagnostic accuracy in detecting intrauterine pathologies, including causes of recurrent implantation failure, hence avoiding the need for more invasive procedures [8,9]. It is safe as well as less costly, less painful and minimally invasive, reducing the chances of surgical intervention [8,10]. Saline infused sonography is less invasive and an accurate diagnostic tool for assessment of uterine lesions and tubal pathologies in infertile patients which can be performed as an OPD procedure, not requiring contrast administration, thus eliminating the chances of contrast allergies [8 ,11 ,12].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as Gold Standard

Khan¹,

Rehana²,

Saeed³

et al. 2022

PJMHS

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Background: Infertility is defined as the failure to conceive after 1 year of unprotected sexual intercourse in women less than 35 years of age and 6 months in women older than 35 years [1, 2]. It affects 10 to 15 % of the couples [1]. Abnormalities of fallopian tubes account for 35 to 40 % of the cases of infertility [3]. Sonosalpingography is a non-invasive, safe and cost- effective diagnostic technique which provides reliable diagnosis of tubal patency [4]. Objective: To evaluate the diagnostic validity of Sonosalpingography as a tubal patency test in infertile women using laparoscopy as gold standard. Methodology: This study was carried out at the Radiology Departments of Khyber Teaching Hospital and Kuwait Teaching Hospital in Peshawar. We used the WHO method for sample size by taking the prevalence of tuboperitoneal factors as 30%, sensitivity 72.9%, specificity 81.22%, margin of error 12%, and 95% confidence interval. It was a cross-sectional study that lasted for 6 months and assessed a total of 178 patients. Additionally, a non-probability, sequential sampling strategy was utilized to acquire the sample. Results: Our patients aged between 18-45 years, out of which 30% of the participants aged 18 to 25years, 55% were between 26 and 35years, and 15% were between 36 and 45years. Standard deviation was 1.26, with a mean age of 27. The data collected from both the diagnostic tests was analyzed, diagnostic accuracy of Sonosalpingography was calculated as a sensitivity of 81%, specificity of 76%, positive predictive value of 90%, negative predictive value of 60%, and diagnostic accuracy of 79%. Conclusion: According to the results of our study, sonosalpingography is a very helpful supplemental diagnostic tool for evaluating tubal disease in patients with infertility, though direct laparoscopic assessment is the gold standard. Sonosalpingography and laparoscopy can be used to evaluate patients with secondary infertility. This spares the patient from being exposed to radiations and the discomfort of contrast administration in HSG. Keywords: Diagnostic Accuracy, Sonosalpingography, Tubal Patency, Infertility, Laparoscopy

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Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as Gold Standard

Khan¹,

Rehana²,

Saeed³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…Another commonly used technique HSG also has a number of associated complications which include pelvic pain, vomiting, fever, contrast allergies, infections, risk of venous and lymphatic intravasation (9). It can cause transient distortion of the endometrial cavity by blood, mucous, debris and air bubbles which can cause false positive results (10). Sonohysterography, a modern technique, now widely used for evaluation of female infertility is more sensitive than TVS, less expensive than hysteroscopy and has a comparable diagnostic accuracy (11).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as the Gold Standard

Qureshi¹,

Gill²,

Iqbal³

et al. 2022

PJMHS

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Objective: To evaluate the diagnostic validity of Sonosalphingography as a tubal patency test in infertile women using laparoscopy as gold standard. Methodology: This study was carried out at the Shifa International Hospital Islamabad, and the duration of this study was from January 2021 to June 2021. We used the WHO method for sample size by taking the prevalence of tuboperitoneal factors as 30%, sensitivity 72.9%, specificity 81.22%, margin of error 12%, and 95% confidence interval. It was a cross-sectional study that lasted for 6 months and assessed a total of 178 patients. Additionally, a non-probability, sequential sampling strategy was utilized to acquire the sample. Results: Our patients aged between 18-45 years, out of which 30% of the participants aged 18 to 25 years, 55% were between 26 and 35 years, and 15% were between 36 and 45 years. Standard deviation was 1.26, with a mean age of 27. The data collected from both the diagnostic tests was analyzed, diagnostic accuracy of Sonosalphingography was calculated as a sensitivity of 81%, specificity of 76%, positive predictive value of 90%, negative predictive value of 60%, and diagnostic accuracy of 79%. Conclusion: According to the results of our study, Sonosalphingography is a very helpful supplemental diagnostic tool for evaluating tubal disease in patients with infertility, though direct laparoscopic assessment is the gold standard. Sonosalphingography and laparoscopy can be used to evaluate patients with secondary infertility. This spares the patient from being exposed to radiations and the discomfort of contrast administration in HSG. Keywords: Diagnostic Accuracy, Sonosalphingography, Tubal Patency, Infertility, Laparoscopy

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Role of Sonohysterography in Evaluatingthe Spectrum of Endometrial Pathologies

Cited by 2 publications

References 1 publication

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as Gold Standard

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as Gold Standard

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as the Gold Standard

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