Transvaginal hysterosalpingo-contrast-sonography (Hy-Co-Sy) compared with conventional tubal diagnostics

Deichert, U.; Schlief, Reinhard; Sandt, M.; Juhnke, I.

doi:10.1093/oxfordjournals.humrep.a136920

Cited by 113 publications

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“…However they did not focus on the evaluation of tubal patency. Other authors have also demonstrated that the 'sonohysterography' using hyporeflective contrast media shows results that are comparable to the hysteroscopy concerning the evaluation of uterine findings (Deichert et al, 1989(Deichert et al, , 1993Cicinelli et al, 1995). Beyond that, contrast-enhanced sonography allows an overall evaluation of the uterus.…”

Section: Thomas Strowitzkimentioning

confidence: 88%

“…The use of hyper-reflective contrast media (e.g. Echovist®, Schering AG; Müllerstrasse 178, 13353 Berlin) easily allows the demonstration of the tubal patency of each individual Fallopian tube by detection of a 'flow phenomenon' of the contrast dye (Deichert et al, 1989(Deichert et al, , 1993. A meta-analysis of three comparative studies with a total of 1007 patients was able to confirm these results (Holz et al, 1997).…”

Section: Thomas Strowitzkimentioning

confidence: 99%

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Leptin concentrations in stimulated cycles

Strowitzki¹

1998

Human Reproduction

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differences in progesterone concentrations, rather the dichotomy appears to be a genetic device by mother nature'. Since Bernstein offers no explanation of how this device works, I suggest it has a hormonal basis -as, apparently, has a very large range of other mammalian sex ratio variation (James, 1996). References Foote, R.H. (1977) Leptin concentrations in stimulated cyclesDear Sir, We read the paper by with interest. The authors demonstrate rising leptin concentrations in cycles stimulated with follicle stimulating hormone (FSH) up to cycle day 6. Significantly higher leptin concentrations were found in the midcycle phase, compared with unstimulated cycles. These data confirm two previous reports by and our own group (Strowitzki et al., 1997), both presented at the 13th annual meeting of ESHRE 1997. Bützow et al. examined 45 patients of a routine in-vitro fertilization (IVF) programme in down-regulated cycles. They described a significant rise of endogenous leptin concentrations during ovarian stimulation (10.7 Ϯ 1.1 to 16.0 Ϯ 1.3 ng/ml). After 16 days the leptin concentrations returned back to normal. There was a significant correlation between oestradiol and leptin concentrations. Our own group reported similar results. In seven IVF patients in down-regulated cycles, stimulated with FSH, we found a significant leptin rise from day 3 to day 9. Meanwhile we have confirmed our findings in a larger series of 20 patients (Strowitzki et al., 1998).Since the authors have cited two presentations by and of the same abstract book they should have been aware of these reports. In order to ensure a thorough scientific discussion we feel that presentations dealing with exactly the same issue should not be simply neglected. Instead of claiming '...is the first in which changes in leptin concentrations...' a more careful research of literature would have been desirable to allow a better understanding of the behaviour and possible impact of leptin serum concentrations in two stimulated cycles. Dear Sir, We thank Dr Strowitzki for his interest in our study . The two studies by and Strowitzki et al. (1997) that Dr Strowitzki mentions have been published only as abstracts and not as full papers. We did not neglect these two studies, simply we were not aware of them. The two abstracts by and that are cited in our paper were not included in the initial manuscript submitted to the journal. They were only added after suggestions were made by one of the Referees. Nevertheless, between our study and the two studies mentioned by Dr Strowitzki, there are great differences. In these studies Strowitzki et al., 1997), the authors are presenting only two values of leptin during the follicular phase of gonadotrophin stimulated cycles, while in our study daily changes in leptin values are presented. Therefore, when we claim that 'the present study is the first in which changes in leptin concentrations were investigated during the follicular phase...' is absolutely true, because we mean 'during the whole follicular phase' and not ...

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Section: Thomas Strowitzkimentioning

confidence: 88%

Section: Thomas Strowitzkimentioning

confidence: 99%

Leptin concentrations in stimulated cycles

Strowitzki¹

1998

Human Reproduction

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“…Deichert et al (5) used transvaginal hysterocontrastsonography. The tubes were visualized by isotonic saline and /or contrast medium SHU454.…”

Section: Discussionmentioning

confidence: 99%

Sono Hysterosalpingography (Shsg): A Useful Adjuvant in Infertility Evaluation

Deshpande¹,

Deshpande²

2015

jemds

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AIMS & OBJECTIVES:To assess the value of transvaginal Sono hysterosalpingography in evaluating the uterine abnormalities and tubal patency in infertile patients and to compare its results with established methods like hysterosalpingography and laparoscopy. MATERIALS & METHODS:Starting from June 2010, 30 cases of transvaginal Sono hysterosalpingography (SHSG) were carried out on patients of infertility and reproductive wastage. The results of this procedure were compared with HSG in 14 cases and with laparoscopy in 16 cases. In cases where uterine factor was suspected the findings of sonohysterogram were confirmed by office hysteroscopy. RESULTS: Out of the 16 cases confirmed by laparoscopy there was complete agreement with SHSG in 14 (87.5%) cases partial agreement in one (6.25%)and total disagreement in 2 (12.5%) cases out of The 14 cases (85.7%) partial agreement in 1 (7.1%) And total disagreement in 2 cases (14.2%). There was 100% agreement in this findings of sono hysterosalpingography and hysteroscopy. CONCLUSION: There were no false positive cases in SHSG. We than conclude from our study that transvaginal SHSG is a simple & reliable method of evaluating uterine abnormalities and tubal patency its results being comparable to the established methods like HSG and laparoscopy.

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“…1989-ben Deichert és Schlief használt először kontrasztanyaggal erősített transvaginalis ultrahangvizsgálatot a petevezeték átjárhatóságának megítélésére [12]. A hisztero-kontraszt-szalpingográfia (hystero-contrast-sonography -HyCoSy) eljárással viszonylag gyorsan és egyszerűen vizsgálhatjuk a méh üregét és a petevezetékek átjárhatóságát.…”

Section: Hisztero-kontraszt-szalpingográfiaunclassified

A petevezeték-átjárhatóság vizsgálómódszereinek összehasonlító elemzése

2017

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Debreceni Egyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Intézet, DebrecenAz infertilitás leggyakoribb és egyértelmű organikus oka a petevezetékek lezártsága. Az átjárhatóság vizsgálatára már számos módszer áll rendelkezésünkre. A hiszteroszalpingográfia kontrasztanyagos röntgeneljárás, amely a méhüreg alaki rendellenességeit és a petevezetékek lefutását mutatja, azonban sugárterheléssel jár, és nem ad információt egyéb kismedencei eltérésekről. A szono-hiszteroszalpingográfiával hasonló érzékenységgel és fajlagossággal vizsgálhatjuk a méh üregét és a petevezetékek átjárhatóságát ultrahang segítségével, egyúttal a kismedencei képletek vizsgálatára is lehetőségünk van. A transvaginalis hidrolaparoszkópia egy új, minimálisan invazív vizsgálómódszer, amely során a hüvely hátsó boltozatán keresztül bevezetett endoszkóp segítségével a petevezetékek és petefészkek direkt vizsgálatá-ra van mód. A laparoszkópos kromopertubáció a meddőségi kivizsgálás "gold standard"-ja, amely invazivitással és altatással jár, valamint az ellátó intézményt is jobban terheli. Biztonságos és költséghatékony átjárhatósági vizsgálat az office hiszteroszkópia során végzett szelektív pertubáció. Az ambulanter elvégezhető átjárhatósági vizsgálatok negatív prediktív értéke magas, így ezek a meddőségi kivizsgálás első vonalában választásra javasolt módszerek. Orv. Hetil., 2017, 158(9), 324-330.Kulcsszavak: infertilitás, petevezeték-átjárhatóság, hiszteroszalpingográfia, szono-hiszteroszalpingográfia, hidrolaparoszkópia, laparoszkópia, hiszteroszkópia Comparison of current methods of tubal patency assessmentMost common organic cause of infertility is the blockage of the Fallopian tubes. Several methods were introduced to evaluate tubal patency. Hysterosalpingography is a conventional radiology procedure using contrast medium, which gives an accurate image of the uterine cavity and the Fallopian tubes, but radiation exposure is necessary. Hysterocontrast-sonography similarly examines the uterine cavity and tubal patency by ultrasonography, and it enables to detect pelvic pathology, too. Transvaginal hydrolaparoscopy is a minimal invasive direct method using endoscope introduced into the abdominal cavity through the posterior vaginal fornix, both ovaries and tubal patency can be observed. Laparoscopy is the "gold standard" procedure in the tubal testing, however it is a more invasive procedure. A cost-effective testing method is the selective tubal pertubation performed via office hysteroscopy. Recent outpatient methods to detect tubal patency have high negative predictive values and recommended to be the first choice in infertility work-up. OHSC-SPT = office hiszteroszkópia-szelektív pertubáció; SHSG = szono-hiszteroszalpingográfia; SIS = saline infusion sonography; STD = szexuális úton terjedő nemi betegségek; TVHL = transvaginalis hidrolaparoszkópia

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Transvaginal hysterosalpingo-contrast-sonography (Hy-Co-Sy) compared with conventional tubal diagnostics

Cited by 113 publications

References 0 publications

Leptin concentrations in stimulated cycles

Leptin concentrations in stimulated cycles

Sono Hysterosalpingography (Shsg): A Useful Adjuvant in Infertility Evaluation

A petevezeték-átjárhatóság vizsgálómódszereinek összehasonlító elemzése

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