Role of sonosalpingogram in correlation to hysterosalpingogram in assessment of infertility

Madhok, Rajneesh; Taneja, Vichi

doi:10.18203/2320-1770.ijrcog20161694

Cited by 3 publications

(7 citation statements)

References 9 publications

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“…Suttipichate J et al performed a prospective study to evaluate the characteristics of transvaginal saline sonosalpingography (SSG) for the assessment of tubal patency in comparison to the findings from the standard diagnostic laparoscopy with chromopertubation. The results confirmed that transvaginal saline SSG is a simple, well-tolerated and reliable screening method for the assessment of tubal patency in an outpatient setting with minimal adverse effect 9,13 . Moreover transvaginal saline SSG may also be used to assess the tubal status after microsurgery for reanastomosis in an out patient setting 11 .…”

Section: Fig-1: Parity Of Infertility Patientssupporting

confidence: 69%

“…Case AM and Pierson RA studied, clinical use of Sonohysterography in the evaluation of infertility and concluded that Sonohysterography can offer detailed assessment of the female pelvis, and has the potential to replace HSG as a routine, first-line infertility investigation. Zvanca M, Andrei C examined patients of infertility by sono-hysterosalpingography & checked their results by laparoscopy also concluded the same 9 . Panchal S and Nagori C in their study for assessment of tubal status, said that HSG is painful and inconvenient for patient.…”

Section: Fig-1: Parity Of Infertility Patientsmentioning

confidence: 71%

“…Laparoscopy is considered to be the gold standard for tubal evaluation, but is an operative procedure and needs anesthesia. SSG can demonstrate a patent tube but if blocked, the site of block cannot be demonstrated 9 . One study done by Suttipichate J et al, Transvaginal saline SSG could detect almost all cases of the tubal patency with high percentage of accuracy, 95.24%.…”

Section: Fig-1: Parity Of Infertility Patientsmentioning

confidence: 99%

“…This is the reason why bilateral proximal obstruction of uterine tubes diagnosed by HSG should be subsequently confirmed by laparoscopy 8 . On the other hand, laparoscopy and dye insufflation test is generally regarded as being the gold standard for direct visualization of tubal patency and fimbrial architecture, but is an invasive diagnostic method that requires general anesthesia and carries the risk of severe adverse effects, including injury to pelvic blood vessels, intestinal loops, and the urinary bladder 8,9 . Recently the newer technique of sonohysterosalpingography popularly known as Sono Salpingography (SSG) is evolved 6 .…”

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Saline Sono Salpingography (SSG) and Laparoscopy with Chromopertubation in Evaluation of Tubal Patency

Ghani

Ila

Tasmin

et al. 2019

J Shaheed Suhrawardy Med Coll

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Background In the field of infertility, tubal factor has a great role. So the assessment of tubal patency belongs to the initial diagnostic tests in the work-up of an infertile woman. During the past few years, sonosalpingography has been suggested as the firstline method to study tubal patency. This comparative study of transvaginal saline SSG to the gold standard method of diagnostic laparoscopy with chromopertubation was performed for the assessment of tubal patency in infertile women. Methods At first thirty-four patients suffering from primary or secondary infertility were evaluated for tubal patency with sonosalpingography using a pediatric Foley urinary catheter using saline solution as a contrast medium. The uterine tubes were evaluated. One patient conceived and two patients denied before the scheduled laparoscopy. Ultimately they were excluded from the study. In the study, finally 31 patients were enrolled and the results of SSG were compared to the findings of laparoscopy and chromotubation performed independently. Results The findings of both methods agreed in 26 out of 31 tubes (concordance, 93.5%). The sensitivity of sonosalpingography in diagnosing tubal patency was 96.2% and the specifcity 80%. The positive predictive value for tubal patency by sonosalpingography was 96.29% and the negative predictive value 80%. Adverse events of sonosalpingography included mild abdominal pain in some patient. No infectious complications were recorded. Conclusions The results confirm that sonosalpingography using saline as a contrast medium is a reliable, simple and well-tolerated method to assess tubal patency in an outpatient setting. In addition, the procedure can be performed without prophylactic antibiotics. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 52-58

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Section: Fig-1: Parity Of Infertility Patientssupporting

confidence: 69%

Section: Fig-1: Parity Of Infertility Patientsmentioning

confidence: 71%

Section: Fig-1: Parity Of Infertility Patientsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Saline Sono Salpingography (SSG) and Laparoscopy with Chromopertubation in Evaluation of Tubal Patency

Ghani

Ila

Tasmin

et al. 2019

J Shaheed Suhrawardy Med Coll

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“…Secondary infertility is a failure to conceive following a previous pregnancy. 1 It is widely accepted that a complete infertility workup should include an evaluation of the uterine cavity, uterine abnormalities, congenital or acquired, are implicated as one of the causes of infertility. In fact, infertility related to uterine cavity abnormalities has been estimated to be the causal factor in as many as 10% to 15% of couples seeking treatment.…”

Section: Introductionmentioning

confidence: 99%

Hysterosalpingogram in Evaluation of Primary Infertility- A Retrospective Study

Ganiga¹,

Soumyarani²,

Subash³

2018

jebmh

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BACKGROUNDInfertility is one of the commonest problems encountered in gynaecology. Improved familiarity with and access to infertility services among the affluent and better educated patients probably accounts for their greater use of the medical resources. Hysterosalpingography is one of the most important diagnostic procedures used for evaluation of infertility. Around 15% of Indian population, both male and female is becoming infertile with no chance of becoming parents in the future. Objective-To evaluate uterine and tubal disease detected on hysterosalpingography in female partner, in couples who have come for evaluation of primary infertility.

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Hysterosalpingographic findings in infertility – what has changed over the years?

Omidiji¹,

Toyobo²,

Adegbola³

et al. 2019

Afr H. Sci.

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BackgroundPrior studies on Hysterosalpingography (HSG) have shown that pelvic inflammatory disease (PID) related tubal adhesions accounted for 30 – 50% of female infertility, with as high as 80% reported in some studies. With improved access to contraceptives, antibiotics and promotion of safe practices, the abnormal findings in HSG may have reduced or altered.ObjectiveTo document the imaging findings in the HSG of participants and to compare current findings with prior studies done nationally and internationally.MethodA retrospective evaluation of 974 HSGs done at the tertiary diagnostic center over a 7-year period was conducted and analyzed using diagnostic accuracy tables.ResultsTubal pathologies were the most common abnormality in this study, (35.1% of the cases), comprising tubal blockage and hydrosalpinges; followed by uterine masses seen in 223 (22.9%) of the clients. Tubal occlusion was higher in clients with multiple abnormal findings; while normal sized and large uterine cavities had a higher percentage of bilateral tubal patency.ConclusionTubal factors remain the most common abnormality seen in the HSGs of infertile women in this study, though with lower prevalence compared with prior older studies. Forty seven (47%) of the cases of female factor infertility had normal HSGs with bilateral tubal patency.

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Role of sonosalpingogram in correlation to hysterosalpingogram in assessment of infertility

Cited by 3 publications

References 9 publications

Comparative Study of Saline Sono Salpingography (SSG) and Laparoscopy with Chromopertubation in Evaluation of Tubal Patency

Comparative Study of Saline Sono Salpingography (SSG) and Laparoscopy with Chromopertubation in Evaluation of Tubal Patency

Hysterosalpingogram in Evaluation of Primary Infertility- A Retrospective Study

Hysterosalpingographic findings in infertility – what has changed over the years?

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