Warming Echovist contrast medium for hysterocontrastsonography and the effect on the incidence of pelvic pain. A randomized controlled study

Nirmal, DM; Griffiths, A; Jose, G; Evans, John Grimley

doi:10.1093/humrep/dei440

Cited by 19 publications

(14 citation statements)

References 8 publications

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“…It was reported that administration of a warm isotonic solution with a pressure below 70 mm Hg was shown to minimize intravasation. 14,15 There was significant difference between intravasation and endometrial thickness. 16 Venous intravasation is more frequent when the endometrial thickness is less than 6 mm.…”

Section: Discussionmentioning

confidence: 94%

“…Thus, we may try to use different catheters to minimize the endometrial trauma or uterine pressure, such as the Leech Wilkinson cannula or even insemination catheters. It was reported that administration of a warm isotonic solution with a pressure below 70 mm Hg was shown to minimize intravasation . There was significant difference between intravasation and endometrial thickness .…”

Section: Discussionmentioning

confidence: 99%

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Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

Xiong

et al. 2018

J of Ultrasound Medicine

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Objectives We aim to retrospectively analyze the diagnostic image quality of transvaginal 4‐dimensional hysterosalpingo‐contrast sonography from infertile patients and determine the significant influencing factors. Methods A total of 445 patients visiting infertility clinics were included in the study, of which 167 were primary infertile and 278 were secondary infertile. The factors were recorded, including age; examination time; infertility type; history of pelvic inflammatory disease, pelvic surgery, intrauterine surgery, and ectopic pregnancy; endometrial thickness; uterine position; ovarian position; 2‐dimensional image quality; intravasation quantity, position, and time; balloon volume; and the dosage of contrast agent or the sterile saline solution. All the factors were compared among different diagnostic image quality groups. The method of rank logistic regression analysis was adopted to analyze the risk factors affecting the diagnostic image quality. Results Among the 445 infertile patients, 124 (27.9%) patients had intravasation occur during transvaginal 4‐dimensional hysterosalpingo‐contrast sonography. The diagnostic image quality between the 2 sonographers was consistent (Cronbach's alpha, 0.993). Different intravasation quantities, positions, and times; increased of balloon volume; and history of pelvic surgery were substantial risk factors for the diagnostic image quality. The diagnostic image quality diminished with the increase of intravasation. In the patient with cornual intravasation, the diagnostic image quality was substantially worse than that with non–cornual intravasation. Moreover, early onset of intravasation seriously affected the diagnostic image quality. Conclusions In conclusion, intravasation affected the diagnostic image quality, especially early cornual massive intravasation.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

Xiong

et al. 2018

J of Ultrasound Medicine

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“…Therefore, we recommend to wait several minutes and to allow the building up of intrauterine pressure while injecting the gel foam, as tubal patency can still be demonstrated in some cases of suspected proximal block uni- or bilaterally. In the outpatient setting we routinely warm the gel to 37°C using a warming blanket to avoid thermal stimulation of the myometrial cells and to minimize uterine cramps [19]. …”

Section: Discussionmentioning

confidence: 99%

The Use of a New Gel Foam for the Evaluation of Tubal Patency

Schoubroeck

Bosch

Meuleman

et al. 2012

Gynecol Obstet Invest

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Aims: To evaluate the feasibility and the reliability of hysterosalpingo-foam sonography (HyFoSy) using gel foam in the assessment of tubal patency. Methods: Nonrandomized, observational, academic and single-center study of 20 women being investigated because of subfertility and scheduled for a laparoscopy with chromopertubation. A detailed description of HyFoSy with a newly developed gel foam is given in the way it proved to be most efficient in our hands. The results of HyFoSy are compared to the data regarding tubal patency testing during laparoscopy by chromopertubation. Results: All 20 HyFoSy were technically successful. Four of the 40 tubes, 1 right tube and 3 left tubes, were not patent at HyFoSy (3 tubes with proximal block and 1 tube with distal block). There was a 100% agreement between tubal patency data according to HyFoSy testing and laparoscopic chromopertubation testing. Conclusion: HyFoSy is both feasible and accurate in the diagnosis of tubal patency.

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“…Experiences from peritoneal dialysis (10) and laparoscopy (11) indicate that warm dialysis solution or air insufflations can reduce the severity of pain. A randomized study (12) on sonohysterography (SHG), another technique for examining tubal and uterine cavity pathologies, suggested that warming echoic contrast media to body temperature is a simple and effective intervention for reducing discomfort during the exam. Owing to the differences in SHG and HSG, namely the quantity and content of the media used, it is unknown whether this intervention would also have an impact on the pain levels experienced during HSG.…”

mentioning

confidence: 99%

Comparison of warm and cold contrast media for hysterosalpingography: a prospective, randomized study

Zhu¹,

Mao²,

Wu³

2012

Fertility and Sterility

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Warming Echovist contrast medium for hysterocontrastsonography and the effect on the incidence of pelvic pain. A randomized controlled study

Abstract: Warming of Echovist contrast media to body temperature is a simple and effective intervention in reducing discomfort at the time of HyCoSy.

Cited by 19 publications

References 8 publications

Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

The Use of a New Gel Foam for the Evaluation of Tubal Patency

Comparison of warm and cold contrast media for hysterosalpingography: a prospective, randomized study

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