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PubMed2003

[Hysterosalpingography combined with hysteroscopy-laporoscopy in diagnosing female infertility].

OBJECTIVE: To evaluate hysterosalpingography (HSG) combined with hysteroscopy-laparoscopy in diagnosing female infertility. METHODS: One hundred thirty three female infertile patients by clinical diagnosis were given HSG and hysteroscopy-laparoscopy, and the results were retrospectively analyzed. RESULTS: The total diagnostic coincidence rate of the two methods in diagnosing uterus-cervix infertility was 80.2%, while the coincidence rate of the two methods in diagnosing tubal infertility was 89.7%. CONCLUSION: HSG combined with hysteroscopy-laparoscopy is an optimal method in diagnosing female infertility at present.

Adult↗

PubMed2003

[Comparison of assessing the patency of the Fallopian tubes during laparoscopy and during hysterosalpingography on television in infertile women with endometriosis].

OBJECTIVES: Sterility become nowadays not only medical, but as well socio-economic problem. One of its major causes is endometriosis. Recurrent adnexitis--one of the most common symptoms of endometriosis might be the cause of fallopian tubes occlusion. The hysterosalpingography (HSG) can be helpful to diagnose this tubal pathology. DESIGN: To compare the assessment of fallopian tubes patency during HSG with the results of laparoscopy in infertile women with endometriosis. MATERIAL AND METHODS: 331 women with endometriosis who were diagnosed during laparoscopy examination between 1998-2002 due to sterility. The presence of endometriosis was confirmed during laparoscopy. In each patient the control of the patency of both fallopian tubes was performed. These data were confirmed with those from HSG performed during follicular phase on the television path. The absence of the contrast passage through fallopian tubes as well as the only trace contrast passage into abdominal cavity were classified as tubal obstruction. RESULTS: In patients during the HSG physiological uterine shape and size in 91.3%, the bicornis uterus in 6.6%, and the unicornis uterus in 2.1% were observed. During laparoscopy we diagnosed the physiological uterine shape and size in 88.8%, the bicornis uterus in 8.2%, and the unicornis uterus in 3.0%. The diagnostic compatibility of these both examinations was 90.6%. In HSG the correct anatomical course of both fallopian tubes without occlusions in 51.7%, the only unilateral patency in 36.7%, and bilateral occlusions in 11.6% were found. During laparoscopy we diagnosed the anatomical course of both fallopian tubes without occlusions in 36.7%, the only unilateral patency in 33.3%, and bilateral occlusions in 30.0%. The diagnostic compatibility of these both examinations was 49.6% for both fallopian tubes, and 34.2% for the only one fallopian tube. In 16.2% both results were incompatible. CONCLUSIONS: The incorrect contrast passage through the fallopian tubes and its increased pressure during HSG in women with the characteristic history and clinical symptoms can suggest endometriosis. In these cases laparoscopy is necessary as the additional examination in the diagnostics of fallopian tubes patency, but the only objective method in diagnosis of endometriosis.

Adult↗

PubMedDate not supplied

[Sono-hysterosalpingography in the assessment of tubal infertility].

The assessment of the fallopian tubes patency is an important moment in the investigation for infertility. Vaginal sonographic hydrotubation was assessed in the evaluation of uterine configuration and tubal patency. In addition, technique using "agitated" saline during transvaginal sonography was evaluated. Ultrasound was more effective in detecting abnormalities of both interstitial and distal parts of the tube compared with hysterosalpingography. Sonohysterosalpingography is cheaper, may be performed in the office and also the pelvic irradiation is avoided.

Fallopian Tube Diseases↗

PubMed2005

Effect of hysterosalpingography on serum cancer antigen (CA-125) levels.

OBJECTIVE: The aim of our study was to detect any rise in serum levels of CA-125 after hysterosalpingography (HSG) as a result of irritation of the peritoneum. STUDY DESIGN: Serum levels of CA-125 were assessed before HSG and at the 2nd and 6th hours after HSG in 32 infertile patients who were admitted to our clinic from April 2002 to September 2002. Patients who showed tubal occlusion or Asherman Syndrome were excluded from the study. The levels of serum CA-125 were compared statistically. Statistical analysis was performed with SPSS 10.0 statistical software and the paired-sample t-test was applied. RESULTS: The mean levels of serum CA-125 before HSG, and at the 2nd and 6th hours after HSG were; 14.11 +/- 5.97 mIU/ml, 13.96 +/- 5.80 mIU/ml, and 14.06 +/- 5.80 mIU/ml, respectively. There was no statistically significant difference between serum levels of CA-125 before HSG and at the 2nd or 6th hours after HSG, and also between the 2nd and 6th hours after HSG (p > 0.05). CONCLUSION: We have not found any reports up to date about the levels of serum CA-125 after HSG. In our study we did not detect any increase in levels of serum CA-125 at the 2nd and 6th hours after HSG in spite of peritoneal irritation. We propose that this finding is because leakage of radioopaque material to the abdominal cavity is minimal during the HSG procedure.

Adult↗

PubMed2006

[Hysterosalpingography in the assessment of tubal patency].

UNLABELLED: A major cause of infertility in women is occlusion of fallopian tubes. Hysterosalpingography (HSG) and laparoscopic chemoperturbation are the two traditionnal diagnostic options for tubal assessment. Recently hysterosalpingo-contrast sonography (HyCoSy), an ultrasound-based technique that uses as a contrast agent fluid injected into the fallopian tubes via the uterine cavity, is gaining importance as an alternative procedure. The aim of this study is the analysis of several technic and semiologic aspects of HyCoSy. RESULTS: advantges and limits are discussed throughout a review of literature. HyCoSy is a well tolerated outpatient technique. When performed by experienced operators, it servs as a valable first line screening test of tubal patency in low fertility women. It can confirme that tubes are patent and permits to select patients who need more invasive procedures.

Contrast Media↗

PubMed1991

Hysterosalpingography, laparoscopy and hysteroscopy in infertility. A comparative study.

The accuracy and significance of hysterosalpingography (HSG) during an infertility evaluation were assessed by comparing the radiologic findings on HSG to the operative findings during laparoscopy and hysteroscopy. One hundred ninety-three patients underwent a complete infertility evaluation at our center. HSG was performed during the proliferative phase and was followed by laparoscopy and hysteroscopy, when indicated, during the same or next cycle. False-positive findings on HSG were noted in 5.1% of the patients. In 21%, adnexal adhesions and pelvic endometriosis were identified during surgery in spite of normal HSG. HSG is as accurate as laparoscopy in the diagnosis of tubal disease. However, laparoscopy excels HSG in the diagnosis of pelvic pathology. HSG should remain an integral part of the female infertility investigation and must be performed before laparoscopy and hysteroscopy.

Evaluation Studies as Topic↗

PubMed1991

Radionuclide hysterosalpingography. A simple and potentially useful method of evaluating tubal patency.

A prospective study was undertaken to evaluate the efficacy of radionuclide hysterosalpingography (RN-HSG) using 99mTc-labeled human albumin microspheres to assess the patency of the fallopian tubes in 36 women (72 tubes). The study group consisted of 20 women with proven fertility undergoing laparoscopic tubal ligation, 8 with male factor infertility and 8 with bilateral isthmic tubal occlusion. All RN-HSG scan results were correlated with the findings at laparoscopy when tubal patency was ultimately assessed with chromopertubation. The sensitivity and specificity of RN-HSG were 100% and 94.6%, respectively. The positive predictive value (probability of occlusion when RN-HSG was positive) was 84%, whereas the negative predictive value (probability of no occlusion when RN-HSG was negative) was 100%. RN-HSG is a simple and potentially useful method of assessing the patency of the fallopian tubes.

Albumins↗

PubMed1991

[Sonosalpingography and/or hysterosalpingography, advantages and disadvantages].

Sonosalpingography is a new procedure in the examination of the passage of the uterine tube. It was first used by Dr. Richman from the United States. On the basis of the comparison of sonosalpingographic and histerosalpingographic findings it was concluded that in spite of advantages (simple and fast method) sonosalpingography should be indicated only in cases where hysterosalpingography is contra-indicated.

Constriction, Pathologic↗

PubMed1991

[An unusual finding in hysterosalpingography].

We report about a case in which inadvertantly as hysterosalpingography was performed in early pregnancy. Radiological findings are described and and the question of risk of radiation is discussed.

Adult↗

PubMed1990

[Comparative study of the diagnostic value of hysterosalpingography and laparoscopy].

A total of 100 women had either hysterosalpingography with watersoluble Verografin or lipidsoluble Jodlipol for the assessment of tubal patency. Of these, all had laparoscopy. Laparoscopy have been shown to be the best test of tubal abnormalities. Hysterosalpingraphy with lipidsoluble contrast medium is poorly informative while the method of investigating the tubal pathology and cannot be used in clinical practice.

Adult↗

PubMed1990

Pain relief in hysterosalpingography. A comparison of analgesics.

Hysterosalpingography provides important information in the evaluation of infertility but is generally considered an uncomfortable and painful procedure. We evaluated various analgesics for decreasing or eliminating the discomfort from this procedure. Two types of analgesia were required to give maximum pain relief during and after the examination in the 180 patients evaluated. The best results were achieved with a combination of naproxen sodium, 550 mg, given orally two hours before the examination, and 20% benzocaine, applied to the cervix.

Analgesics↗

PubMedDate not supplied

[Pregnancy after hysterosalpingography and laparoscopy].

Pregnancies following hysterosalpingography (HSG) and laparoscopy (LPSK) are described. HSG was performed in 463 and laparoscopy in 255 patients if they did not conceive within 6 months following HSG. Group I included patients with bilaterally occluded tubes, group II patients with pathological changes in the tubes with one or both unobstructed tubes, and group III patients with normal HSG and LPSK findings. Group I included 79 patients, group II 163 and group III 221 patients after HSG, and group I 42, group II 118 and group III 95 patients after LPSK. After the application of both methods, pregnancy was to be expected only in patients from group II and III. During the year following HSG, out of 384 patients from groups II and III, 55 (14.3%) conceived, and following LPSK, out of 213 patients from groups II and III, 28 (13.1%) conceived. Following the applications of both methods, 83 (27.4%) patients from groups II and III conceived. The number of spontaneous pregnancies after HSG and LPSK is almost equal. It may therefore be assumed that it is only the mechanical activity of the perfusion liquid that has a therapeutic effect.

Adult↗

PubMedDate not supplied

Hysterosalpingography, pre- and postoperative laparoscopy in operative treatment of infertility.

The benefit of routine hysterosalpingography (HSG) and pre- and postoperative laparoscopy in diagnosing and treating anatomical infertility was investigated in 115 women. The findings at HSG and laparoscopy were compared with the diagnoses obtained by laparotomy. Laparoscopy was significantly better than HSG in detecting adhesions. Both procedures were of equal value in assessing tubal pathology. Although HSG revealed additional findings in 5 per cent of cases, none of these needed operative correction. Postoperative laparoscopy, which was performed in 70 patients, did not affect the incidence of either intra- or extra-uterine pregnancy. It is concluded that all patients should be offered diagnostic laparoscopy. HSG and second-look laparoscopy should not be used routinely.

Adult↗

PubMed1989

Hysterosalpingography with a new contrast medium.

This article reports on the use of iotrolan--a new contrast medium and the first dimeric, nonionic, hexaiodinated, water-soluble preparation--in hysterosalpingography. This randomized, double-blind study compared an ionic and a nonionic monomeric preparation. The better results were achieved with iotrolan. Its unusual lack of local irritation and its high contrast quality, especially definition of contrast, merit particular mention.

Adult↗

PubMed1989

[Hysterosalpingography with digital image intensification radiography].

Digital image intensifier radiography (Siemens/Polytron) offers the chance to reduce patient exposure dose in hysterosalpingography (HSG) by 85% compared with conventional film/screen radiography and by 11% compared with the 100 mm technique. By appropriate choice of the parameters the signal-to-noise ratio was adapted to the detectability of the diagnostic information (variation of the dose). Thirty patients were examined with the 28 cm image intensifier and an image intensifier input dose of 50 microR. The diagnostic image quality was assessed being aware of the results of laparoscopy or surgery; in 29 cases the quality was classified very good without any limitations. Digital image intensifier radiography offers additional advantages over conventional x-ray units: the images are directly available on the monitor and offer the possibility of post-processing.

Adult↗

PubMedDate not supplied

Therapeutic value of hysterosalpingography with lipiodol ultra fluid.

Hysterosalpingography (HSG) with lipiodol ultra fluid was performed in 294 infertile women with a normal ovulatory temperature curve and at least two years of infertility and a partner with normal sperm. In 21 per cent, pregnancy occurred within 6 months after the examination, and about one third of the women with a normal finding or with intraperitoneal adhesions at HSG conceived. The pregnancy rate was especially high in the first two cycles after HSG. The spontaneous pregnancy rate was 8 per cent, and the difference between this and the total number of pregnancies must be attributed to a therapeutic effect of the procedure. Previous pelvic inflammatory disease was present in 40 per cent of those who did not become pregnant, while only 11 per cent of those who conceived had previous inflammation. Of the women without previous gynecologic disease 30 per cent conceived.

Adult↗

PubMed1987

A comparative study of hysterosalpingography and endoscopy/laparotomy in infertile patients.

A comparison of hysterosalpingography (HSG), using Lipiodol ultrafluid as contrast medium, with endoscopy/laparotomy in the evaluation of the tubal function in 124 infertile women is presented. There was agreement between the results of both methods in 73.4% of the patients. The false-negative rate was 2.4% and the false-positive rate was 8.9%. Complications in the form of intravasation were seen in three patients but none of them had any symptoms. The conception rate was 35% in the subgroup of patients with normal HSG. The authors recommend the continuous use of HSG in the overall evaluation of infertile patients. It is recommended to use oil-soluble contrast media because of its high diagnostic accuracy, low frequency of complications and its therapeutic advantages.

Adult↗

PubMedDate not supplied

The diagnostic value of hysterosalpingography and laparoscopy in infertility investigation.

Four hundred and twenty infertile patients had hysterosalpingography (HSG) and laparoscopy as a part of their infertility workup. A comparison of HSG and laparoscopy findings was carried out to study the diagnostic value of each of these two procedures. It was found that the accuracy in the diagnosis of tubal patency or tubal blockage was quite similar for both procedures. However, laparoscopy revealed peritubal adhesions in 29.8% of patients, whereas HSG made an accurate diagnosis in only 8.8%. It is concluded that HSG is as accurate as laparoscopy in the diagnosis of tubal patency or blockage, and should remain an integral part of female infertility investigation. Laparoscopy excels HSG in the diagnosis of pelvic pathology and thus should always be performed whenever a pelvic factor is suspected in female infertility.

Adolescent↗