2018
DOI: 10.1111/1440-1681.12919
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Use of atropine in four‐dimensional hysterosalpingo‐contrast sonography: Does it suppress pain during infertility examination?

Abstract: This study aimed to ascertain if atropine is useful for suppressing the pain suffered during four-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy) when assessing infertility in women. A total of 252 patients were divided into 2 groups to receive or not receive atropine (0.5 mg) injection 30 minutes before 4D-HyCoSy. Pain was evaluated using a numerical rating scale (NRS): during 4D-HyCoSy; upon 2-dimensional transvaginal sonography; before catheter insertion; upon insertion and fixation of the cathe… Show more

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Cited by 2 publications
(4 citation statements)
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“…The 4D-HyCoSy procedure was similar to that in previous reports ( 16 , 22 ). Atropine was routinely administered via intramuscular injection approximately 30 min before HyCoSy to prevent hysterosalpingeal spasm ( 17 ). A Foley catheter (12 Fr) was inserted into the uterine cavity after sterilization the vagina, and 1.5–3.0 mL of saline was injected into the balloon ( 23 ).…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…The 4D-HyCoSy procedure was similar to that in previous reports ( 16 , 22 ). Atropine was routinely administered via intramuscular injection approximately 30 min before HyCoSy to prevent hysterosalpingeal spasm ( 17 ). A Foley catheter (12 Fr) was inserted into the uterine cavity after sterilization the vagina, and 1.5–3.0 mL of saline was injected into the balloon ( 23 ).…”
Section: Methodsmentioning
confidence: 99%
“…This technique is safe due to its noninvasive and nonradiative nature and can be easily performed in outpatient settings ( 14 , 15 ). Transvaginal four-dimensional HyCoSy (4D-HyCoSy) is a diagnostic technique that can dynamically demonstrate the entire contrast flow from the uterine cavity through the bilateral uterine horns to the fallopian tubes and ultimately into the pelvic cavity ( 16 , 17 ). Furthermore, postcontrast imaging allows for frame-by-frame dynamic playback and segmental analysis of the area of interest, which further improves diagnostic accuracy.…”
Section: Introductionmentioning
confidence: 99%
“…Compared with the traditional x-ray hysterosalpingography, TV 4-D HyCoSy has the advantages of nonradiation, repeatability in a short time, and repeated playback in the later stage of dynamic monitoring, but there is also a countercurrent of contrast agent reflux in TV 4-D HyCoSy, that is, part of the contrast medium enters the myometrium, para-uterine vein and pelvic lymphatic vessels in the process of hysterosalpingography. 14,15 The countercurrent of the contrast agent reflux will affect the clarity of the image, interfere with the doctor's judgment, and reduce the accuracy of the results. It is of great significance for infertility to analyze the characteristics of countercurrent phenomenon, explore the related factors of countercurrent phenomenon, and reduce the incidence of contrast agent reflux as much as possible.…”
Section: Introductionmentioning
confidence: 99%
“…Transvaginal 4-dimensional hysterosalpingo-contrast sonography has been widely used in the examination of tubal patency in infertile women with high sensitivity and specificity. Compared with the traditional x-ray hysterosalpingography, TV 4-D HyCoSy has the advantages of nonradiation, repeatability in a short time, and repeated playback in the later stage of dynamic monitoring, but there is also a countercurrent of contrast agent reflux in TV 4-D HyCoSy, that is, part of the contrast medium enters the myometrium, para-uterine vein and pelvic lymphatic vessels in the process of hysterosalpingography 14,15 . The countercurrent of the contrast agent reflux will affect the clarity of the image, interfere with the doctor's judgment, and reduce the accuracy of the results.…”
Section: Introductionmentioning
confidence: 99%