OGP 6906 Hysterosalpingo contrast sonography (HyCoSy) with SH U 544 (“echovist”) for the assessment of tubal patency in 97 fallopian tubes

1997 ◽  
Vol 23 ◽  
pp. S128
Keyword(s):  
Fallopian Tubes ◽  
Tubal Patency

3D and 4D studies from human reproduction to perinatal medicine

2017 ◽  
Vol 45 (6) ◽  
Author(s):  
Sonal Panchal ◽  
Asim Kurjak ◽  
Chaitanya Nagori
Keyword(s):  
Prenatal Diagnosis ◽  
Congenital Malformations ◽  
Three Dimensional ◽  
Endometrial Receptivity ◽  
Human Reproduction ◽  
Fallopian Tubes ◽  
Perinatal Medicine ◽  
Tubal Patency ◽  
Pretreatment Assessment

AbstractThree-dimensional ultrasound (3D US) is a modality of choice for prenatal diagnosis of congenital malformations. But 3D-four-dimensional US(4D US) is of utmost importance also to achieve pregnancy. 3D US plays an important role for diagnosis of PCO, to assess ovarian reserve and response and thus to decide optimum stimulation protocols. It adds to the information on follicular maturity and endometrial receptivity, thus improving the chances to achieve pregnancy for patients under treatment for fertility. 3D hystero-contrast-salpingography (HyCoSy) has also proved itself to be one of the best modalities for assessment of tubal patency. In this article, the role of 3D and 4D US is discussed for the following. I. Pretreatment assessment of the females desiring fertility which includes assessment of uterus and fallopian tubes. II. Monitoring of infertile females undergoing treatment. III. Assessment of very early pregnancy – especially in abnormal locations.

scholarly journals A petevezeték-átjárhatóság vizsgálómódszereinek összehasonlító elemzése

2017 ◽  
Vol 158 (9) ◽  
pp. 324-330 ◽  
Author(s):  
Judit Lőrincz ◽  
Attila Jakab ◽  
Péter Török
Keyword(s):  
Direct Method ◽  
Standard Procedure ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Invasive Procedure ◽  
Cost Effective ◽  
Fallopian Tubes ◽  
Predictive Values ◽  
Tubal Patency ◽  
First Choice

Abstract: Most 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. Hystero-contrast-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. Orv. Hetil., 2017, 158(9), 324–330.

scholarly journals African experience of hysterosalpingography abnormalities tubes management by laparoscopy in infertile women

2019 ◽  
Vol 8 (11) ◽  
pp. 4271
Author(s):  
Mohamed Fanny ◽  
Edele Aka ◽  
Perel Konan ◽  
Luc Olou ◽  
Abdoul K. Koffi ◽  
...  
Keyword(s):  
Pelvic Surgery ◽  
Fallopian Tubes ◽  
Tubal Infertility ◽  
Tubal Patency ◽  
Infertile Women ◽  
African Experience ◽  
Gynecology And Obstetrics ◽  
Therapeutic Procedures ◽  
History Of ◽  
Sub Saharan

Background: Infertility affects about 80 million people worldwide and one in ten couples. The objective of this study was to report our experience of the contribution of laparoscopy in the diagnostic and prognostic approach of fallopian tubes pathology in infertile women in sub-Saharan Africa.Methods: We conducted a retrospective study in the Gynecology and Obstetrics unit of Yopougon Teaching Hospital over a 2-year period (January 1, 2017 to December 31, 2018) which included 49 cases of tubo-peritoneal infertility diagnosed by hysterosalpingography (HSG) then laparoscopy procedure.Results: The average age was 33 years old.  30.6 % were single. 75% had secondary infertility. 59.2% had a medical history of abortion. Pelvic Inflammatory Disease and pelvic surgery accounted 84.2% and 49 respectively. Laparoscopy showed a predominance of distal tubal damage (66.6%) whose 47% hydrosalpinx. Bilateral tubal patency was demonstrated in 77.5% of our patients during laparoscopy procedure. We observed a sensitivity, a specificity, and a concordance laparoscopy / HSG of 63.6%, 80% 63.1% respectively. Laparoscopy also allowed therapeutic procedures such as adhesiolysis or tubal plasty in 22 patients (44.89% of our cases). At the end of laparoscopy procedure, 35 patients (71.42%) were turned towards IVF.Conclusions: Laparoscopy allows an assessment of tubal abnormalities revealed by hysterosalpingography and the fertility prognostic as well as better therapeutic approach in management of tubal infertility.

Comparison between magnetic resonance hysterosalpingography and conventional hysterosalpingography: direct visualization of the fallopian tubes using a novel MRI contrast agent mixture

2019 ◽  
Vol 61 (7) ◽  
pp. 1001-1007 ◽  
Author(s):  
Na Duan ◽  
Xiao Chen ◽  
Yanyun Yin ◽  
Zhongqiu Wang ◽  
Rong Chen
Keyword(s):  
Magnetic Resonance ◽  
Contrast Agent ◽  
Female Infertility ◽  
Observer Agreement ◽  
Mri Contrast Agent ◽  
Fallopian Tubes ◽  
Mri Contrast ◽  
Predictive Values ◽  
Tubal Patency ◽  
Mr Scanning

Background Magnetic resonance hysterosalpingography (MR-HSG) is a promising technique in the work-up of female infertility. Few existing MR-HSG studies focus on the comparison between MR-HSG with gold standard examination. Purpose To compare the diagnostic value of MR-HSG with conventional HSG in patients receiving both exams in one day. Material and Methods This study included 33 infertile women who completed pelvic MR scanning, HSG, and MR-HSG in that order. A traditional HSG contrast agent (iohexol) and a magnetic resonance imaging (MRI) contrast agent (1 mL gadopentetate dimeglumine (Gd-DTPA) blended with 100 mL iohexol) were used to achieve image enhancement. Inter-observer and inter-modality agreements of HSG and MR-HSG exams were assessed. The results were calculated by using the kappa test. Three radiologists who were blinded to the clinical data independently reviewed the MR images. Extratubal abnormalities were analyzed. Results A total of 62 fallopian tubes of 33 women were included in the study. MR-HSG imaging findings to depict tubal patency were similar to these of HSG (AUC 0.911, sensitivity 0.821, specificity 1.000, positive predictive values 1.000, and negative predictive values 0.872). Pairwise inter-observer agreement among three observers and inter-modality agreement of the diagnosis were excellent (mean kappa 0.863 and 0.835, respectively). In addition, 29 extratubal abnormalities in 21 patients were found on pelvic MR scanning. Conclusion MR-HSG and HSG demonstrated similar results in assessing tubal patency. Because it offers the comprehensive assessment of female pelvic structures, and avoids ionizing radiation, MR-HSG may be used as an alternative imaging technique for evaluation of female infertility.

Hysterosalpingography in the assessment of proximal tubal pathology: a review of congenital and acquired abnormalities

2021 ◽  
pp. 20201386
Author(s):  
Fatemeh Zafarani ◽  
Firouzeh Ghaffari ◽  
Firoozeh Ahmadi ◽  
Malek Soleimani Mehranjani ◽  
Golam Shahrzad
Keyword(s):  
Minimal Risk ◽  
Fallopian Tubes ◽  
Peritoneal Disease ◽  
Saline Infusion Sonography ◽  
Tubal Patency ◽  
Performance Accuracy ◽  
Structural Abnormalities ◽  
Tubal Lumen ◽  
Acquired Abnormalities ◽  
Tubal Pathology

Tubal and peritoneal disease are the main causes of infertility. Tubal pathology can be either congenital malformation or acquired, proximal or distal, unilateral or bilateral and transient or permanent. Several imaging methods such as laparoscopy, fluoroscopy, saline infusion sonography, and hysterosalpingography (HSG) have been used in the assessment of tubal and peritoneal pathology. Although laparoscopy is the modality of choice for investigating tubal patency and pelvic structure in many infertility centers, HSG is usually the initial diagnostic method for infertility workup because of its ease of performance, accuracy, and minimal risk of complications. This method provides useful information about size, contour, and anatomy of the inner surface of the fallopian tubes and is the gold standard for evaluation of tubal lumen. Tubal and peritubal pathology show various imaging manifestations on HSG. This review illustrates the radiographic features of congenital and acquired structural abnormalities of the proximal tubal pathology and along with etiology of proximal obstruction or occlusion will be described.

A STUDY ON THE ROLE OF SALINE SONOSALPINGOGRAPHY AS A TEST FOR TUBAL PATENCY IN THE ASSESSMENT OF INFERTILITY

2021 ◽  
pp. 80-82
Author(s):  
Bishnu Prasad Das ◽  
Manoj Kumar Majumdar ◽  
Chumi Deka
Keyword(s):  
Predictive Value ◽  
High Sensitivity ◽  
Fallopian Tubes ◽  
Perfect Agreement ◽  
Tubal Patency ◽  
Primary Health ◽  
Infertility Patients ◽  
Work Up ◽  
Tubal Pathology

Background: Tubal pathology is one of the major causes of infertility and evaluation of fallopian tubes forms an essential part of work up of infertility patients. The aim of the study was to evaluate tubal patency by Saline Sonosalpingography and compare the results with that of hysterosalpingography. Methods: A total of 22 patients with primary infertility and 13 patients with secondary infertility attending our Obstetrics and Gynecology department were recruited for the study from July 2019 to June 2020. All the study subjects underwent Saline Sonosalpingography on day 7 to day 9 and Hysterosalpingography on 7th to 11th day of the menstrual cycle. Data was collected and compared to assess the sensitivity and specicity of Sonosalpingography with Hysterosalpingography as reference standard. Results: Sonosalpingography (SSG) has 98.18% sensitivity and 66.67% specicity in comparison to hysterosalpingography (HSG). Analysis of the raw data gave positive predictive value of 91.52% and negative predictive value of 90.9%. Near perfect agreement (Cohen's Kappa coefcient =0.9) was seen between the results of the two methods (SSG and HSG). Conclusions: Sonosalpingogrpahy has a high sensitivity for tubal patency and is less invasive. It is found to be a reliable and relatively less expensive diagnostic procedure in the management of infertility in females. Easy availability and accessibility of ultrasound in all primary health care centres denitely can prove superior to conventional method of diagnosis of tubal patency in such patient.

Three-dimensional Hysterosalpingo Contrast Sonography with Lignosal as Contrast for Evaluation of Tubal Patency in the Infertile Women – An Observational Cohort Study

2019 ◽  
Vol 2 ◽  
pp. 4
Author(s):  
Chegondi V N Rao ◽  
Chegondi Sindhu ◽  
Murali Krishna Kota
Keyword(s):  
Three Dimensional ◽  
Second Phase ◽  
Imaging Method ◽  
Fallopian Tubes ◽  
Tubal Patency ◽  
Tubal Occlusion ◽  
Infertile Women ◽  
Institutional Review ◽  
Observational Cohort ◽  
Infertile Patients

Objectives The objectives of the study were to evaluate the two-dimensional (2D)/three-dimensional (3D) hysterosalpingo contrast sonography (HyCoSy) using lignosal (a mixture of lignocaine 2% jelly with normal saline) as a contrast agent for assessing fallopian tubal patency in infertile patients. Materials and Methods After obtaining the Institutional Review Board permission, a single center prospective study was conducted to evaluate the validity of 3D-HyCoSy with lignosal to assess the patency of fallopian tubes in infertile women. In total 540 infertile patients were recruited for this study. Bilateral fallopian tube patency was confirmed when fallopian tubes were seen as echogenic tubular structures with peritoneal spill under real-time 3D/2D-HyCoSy. Results In the first phase of the study, 2D-HyCoSy without 3D acquisition was made in 20 patients (40 tubes). 2D-HyCoSy with lignosal contrast shown tubal patency in 95% and radiographic hysterosalpingography (HSG) resulted in 97.5% tubal patency with 5% inconclusive results by HyCoSy. In the second phase, data from 520 patients showed bilateral tubal patency in 463 patients (89.03%), unilateral tubal occlusion in 49 patients (9.42%), and bilateral tubal occlusion in eight patients (1.53%). No untoward side effects were noticed and reported by the patients during and after the HyCoSy procedure with lignosal. Conclusions 3D-HyCoSy with lignosal allowed the entire length of the fallopian tubes to be seen as contrast moved through the fallopian tubes to the fimbrial end. A “shower” of contrast around the ovaries is visualized confirming the peritoneal spill. Use of lignosal provides an alternative imaging method for evaluating the tubal patency in infertile patients.

scholarly journals Combined Real-Time Three-Dimensional Hysterosalpingo-Contrast Sonography with B Mode Hysterosalpingo-Contrast Sonography in the Evaluation of Fallopian Tube Patency in Patients Undergoing Infertility Investigations

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Sumin Chen ◽  
Xiya Du ◽  
Qingzi Chen ◽  
Shaoqi Chen
Keyword(s):  
Contrast Agent ◽  
Real Time ◽  
Three Dimensional ◽  
Kappa Coefficient ◽  
Fallopian Tubes ◽  
Agreement Rate ◽  
Tubal Patency ◽  
Medical College ◽  
Infertility Patients ◽  
Distal Occlusion

Objective. This prospective study aimed to investigate the use of real-time three-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy), using contrast agent SonoVue, with B mode hysterosalpingo-contrast sonography (B mode-HyCoSy), to evaluate tubal patency and the wall of the Fallopian tubes in infertility patients. Method. In total, we recruited 739 women with fertility requirements from the First Affiliated Hospital of Shantou Medical College between January 2017 and July 2018. All cases received 4D-HyCoSy using contrast agent SonoVue, immediately followed by the B mode-HyCoSy. Of these patients, 145 showed pathological findings in the Fallopian tubes during HyCoSy; 34 of these (62 Fallopian tubes) were verified by laparoscopy and the dye test against routine reference standards. Sonographic findings, along with laparoscopic findings and dye test results, were used to compare the two techniques using the Cohen kappa coefficient. We also investigated the duration of examination and pain score. Results. Compared with laparoscopy and the dye test, the tubal occlusion diagnostic accordance rates for 4D-HyCoSy were 88.7% (32+23)/62, with a kappa coefficient of 0.769 and a 76.9% agreement rate. Distal occlusion diagnostic accordance rates for 4D-HyCoSy were 100% (8/8) with a k coefficient of 1.000 and a 100% agreement rate. Conclusions. The use of 4D-HyCoSy, with B mode-HyCoSy, for the diagnosis of tubal patency is safe, feasible, noninvasive, and highly accurate. B mode-HyCoSy allowed us to observe tubal walls in an intuitive manner.

scholarly journals Examination of Hysterosalpingography in Patients With Suspected Infertility at The Radiology Department of Dr.R. Soetrasno Rembang Hospital

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Retno Wati ◽  
Siti Masrochah
Keyword(s):  
Contrast Media ◽  
Radiology Department ◽  
Fallopian Tubes ◽  
Case Study Approach ◽  
Pain Reliever ◽  
Tubal Patency ◽  
Study Approach ◽  
Reduce Radiation Dose ◽  
Examination Techniques

Hysterosalpingography (HSG) is the most commonly used imaging diagnostic to determine the tubal patency in patient with indications of infertility. The technique used in the HSG procedure is different in some studies. The aim of this study was to determine the technique of hysterosalpingography (HSG) examination with patients suspected of infertility in dr.R. Soetrasno Rembang hospital. The method was a case study approach. Results showed HSG examination using plain photo Anteroposterior (AP) projection, AP projection with 3 cc contrast media and 7 cc contrast media, then post evacuation. The AP projection already revealed uterus, fallopian tubes, spill on the peritoneum, reduce radiation dose, and the pain of patients. They used 3 cc and 7 cc of contrast media because the examination did not use fluoroscopy. The 3 cc of contrast media views the uterus only then 7 cc view the fallopian tube and its spill. HSG plays a crucial role to determine the cause of infertility, especially to evaluate the morphology and patency of the fallopian tubes in women so the radiology team should become familiar with examination techniques used, give the patient education to avoid movement, and hold their body motionless also taking a mild pain reliever before the HSG examination.

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