Transvaginal hysterosonographic evaluation of septate uteri: a preliminary report

Abstract

The objective of this study was to evaluate the diagnostic value of hysterosonography in septate uterine congenital abnormalities and more particularly in septate uteri. A total of 14 patients with a history of repeated spontaneous abortion or infertility who had previously undergone hysterosalpingography were included in this study. Patients were first examined by standard transvaginal ultrasound. Hysterosonography was then carried out by the intrauterine injection of an isotonic saline solution. The septate uteri were diagnosed by hysterosonography in all 14 patients (100%). Hysterosonography permitted the measurement of the thickness and height of the septum. Hysterosonography and transvaginal ultrasound enabled the correct diagnosis of malformation type in eight cases (57%). The accuracy of hysterosonography in postoperative control was greater than that of hysteroscopy. Transvaginal hysterosonography with saline solution is a low-cost, easy and helpful examination method for septate uteri. We propose that hysterosonography should be performed for the primary investigation of infertility and repeated miscarriages.

Septate uterus: detection and prediction of obstetrical complications by different forms of ultrasonography.

“…The gynecologist should be aware that long diagnostic evaluation delays the treatment and increases the cost, patient discomfort, and risk associated with each of the diagnostic procedures. 9 Our study clearly demonstrates that transvaginal ultrasonography can assess uterine morphology precisely, including the endometrial lining and outer contour of the uterine muscle.…”

“…7,8 Lately, hysterosonography has been introduced. 9 This simple and minimally invasive approach permits the obtaining of anatomic images of endometrium and myometrium, accurate depiction of the septate uterus, and even the measurement of septal height and thickness. Three-dimensional ultrasonography also was reported to be a promising method for the assessment of uterine anatomy and diagnosis of congenital uterine anomalies.…”

Effectiveness of Sonohysterography in Infertile Patient Work-Up: A Comparison with Transvaginal Ultrasonography and Hysteroscopy

“…SHG could also better defi ne a congenital abnormality, suggesting the diagnosis of the type of alteration [20,31] (e.g., differentiating a septate uterus from a bicornuate uterus). SHG also allows for the simultaneous detection of ovarian abnormalities.…”

The non-communicating rudimentary horn: diagnostic and therapeutic challenges

“…As an additional method to investigate congenital abnormalities of the uterus, Salle et al recommended hydrosonography [10]. Three-dimensional ultrasound and magnetic resonance imaging (MRI) may also give additional information, as well as hysteroscopy [2].…”