Sonohysterographic Screening Before In Vitro Fertilization

Kim, A H; McKay, H; Keltz, Martin D.; Nelson, H.; Adamson, G. David

doi:10.1016/s0015-0282(98)00045-4

Cited by 41 publications

(28 citation statements)

References 14 publications

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“…In this particular case sonohysterography scored over hysteroscopy. The sensitivity, specificity and accuracy of sonohysterography is established worldwide [1][2][3][4]6,7]. Our initial experience confirms the same although all cases did not undergo hysteroscopy.…”

Section: Disadvantagesupporting

confidence: 72%

“…Parson and Lense [3] evaluated 39 patients with vagino sonohysterography and found that sonohysterography (SHG) resulted in excellent discrimination between intracavitary, intramural and diffuse processes. Various studies confirmed that SHG can easily identify normal uterine cavity, endometrial polyp.iintrauterine adhesions, submucous or intramural myomas and other uterine pathologies [1][2][3][4][5].…”

Section: Disadvantagementioning

confidence: 99%

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Transvaginal Saline Infusion Sonohysterography: Initial Results

Debnath¹,

Satija²,

Sharma³

et al. 2000

Medical Journal Armed Forces India

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Section: Disadvantagesupporting

confidence: 72%

Section: Disadvantagementioning

confidence: 99%

Transvaginal Saline Infusion Sonohysterography: Initial Results

Debnath¹,

Satija²,

Sharma³

et al. 2000

Medical Journal Armed Forces India

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“…The assessment of defining features according to the groups the sensitivity and 88% of the specificity (4). The diagnostic accuracy of SIS was investigated in infertile patients and similar results were found (2,5,6). In this study, we used SIS for uterine imaging and investigated whether or not SIS could be a routine part of infertility examinations.…”

Section: Discussionsupporting

confidence: 53%

“…Kim et al (6) performed routine SIS in 72 diseased patients before the IVF and detected intracavitary abnormalities at a rate of 11.1%. They also reported that the main pathology found was polyps.…”

Section: Discussionmentioning

confidence: 99%

The Role of Saline Infusion Sonohysterography in the Evalution of the Uterus of Infertile Patients

Aydin¹,

Kumbasar²,

Salman³

et al. 2015

JAREM

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INTRODUCTIONEvaluating the uterus is an inseparable part of routine infertility research. During the evaluation of the uterus through transvaginal ultrasound (TvUSG), endometrial imaging using contrast media has been used in clinical practice. This method is less invasive and cheaper than hysterosalpingography (HSG) and hysteroscopy (H/S). Saline infusion sonohysterography (SIS) comprises transcervical infusion of a sterile saline solution to the endometrial lumen during TvUSG. Saline expands the uterine cavity and forms a perfect contrast in defining the echogenic endometrium because it is anechoic. This technique was first described 27 years ago (1). Its high sensitivity and efficiency in detecting endometrial polyps, submucosal fibroids (myoma), synechiae, and uterine abnormalities have been proved in some studies (2, 3). In recent meta-analysis, SIS was compared with hysterectomy, H/S, and histological sampling, which are the gold standard diagnostic methods. It was found that SIS is easily applicable and has high accuracy in diagnosing abnormal uterine bleeding (4). In addition, SIS is less invasive and less expensive than HSG and H/S. In this study, we evaluated the uterus through SIS as part of routine infertility research. We planned a prospective study for this purpose. We investigated whether SIS could be used as a part of infertility research. METHODSSaline infusion sonohysterography was performed in 102 infertile women in our center for infertility research. Patients were informed about the procedure, and their written informed consent was obtained. After SIS, they were referred to the relevant departments for additional diagnostic and therapeutic procedures (laparoscopy or H/S) when required. Data were prospectively collected. The results that we obtained were compared with a large patient cohort where only HSG and TvUSG were used for uterine evaluation.Women with regular menstrual cycles were examined in the follicular phase of their cycles. First, two-dimensional TvUSG was routinely performed. Then, SIS was performed. A 5-MHz frequency vaginal probe (Toshiba justvision 400, Tokyo, Japan) was used in both procedures. The cervix was reached with a standard bivalve disposable vaginal speculum. The cervix was wiped with povidone-iodine. Then, an 8-F balloon-tipped catheter was driven up to the back of the os through the cervical canal and placed. The balloon was inflated with 1 cc of saline. Then, the catheter was brought into the proper position by gentle pulling. After removing the speculum, the vaginal probe was placed again. The endometrial lumen was expanded by slowly injecting 20-50 mL of saline along with TvUSG. Images were taken in the midsagittal section. At the end of the process, the balloon was emptied Methods: One hundred and two infertile patients who were referred to Süleymaniye Obstetrics and Gynecology Hospital because of infertility underwent saline infusion sonohysterography (SIS) at our clinic. The cases were informed about the procedure, and consent forms were obtained. Data was c...

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“…Kim et al 10 constataram que a HSoG oferece vantagem significativa em relação à HSG e histeroscopia diagnóstica pela sua praticidade, precisão e conforto relativo, ao realizar rastreamento da cavidade uterina prévio à FIV. Apesar de a histeroscopia diagnóstica ser procedimento padrão para rastreamento de anormalidade da cavidade uterina antes da FIV, é invasiva, tem custo elevado e pode causar desconforto, portanto os autores recomendam o uso rotineiro da HSoG.…”

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