Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

An Assessment of Sonohysterography as a Diagnostic Tool for Uterine Cavity Defects and Tubal Patency

Authors
Saghar Salehpour 1
Robabeh Taheripanah 2
Leila Soltani 3
1 Department of Obstet . and Gynecol .of Shahid Beheshti Medical Sciences University, Tehran, Iran
2 Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
3 Mahdieh Hospital, Tehran, Iran
Abstract
Introduction: In a prospective blind study, we evaluated sonohysterography (SHG) as a diagnostic tool for uterine cavity and tubal patency and compare SHG with laparoscopy in tubal patency and hysterosalpyngography for Uterine anomaly as gold standard methods. Material and Methods: 76 infertile patients undergone SHG and HSG and laparoscopy and comparison between the different diagnostic techniques for the evaluation of the uterine cavity and tubes was carried out. Results: In comparison between SHG and HSG in the evaluation of uterine cavity, the sensivity of SHG for uterine anomalies was 50% and its specificity was 86.95%. In comparison between SHG and laparoscopy in evaluating tubal patency, specificity of SHG was 81.29% and its sensivity was 28.57% Conclusion: Sonohysterography can be considered as a reliable and accurate method in the first line of evaluation of uterine cavity and tubal patency in infertile patients before HSG, Hysteroscopy, laparoscopy and the all of patients with history of failed IVF.
Kye, Chung, Rebar, Soules. Evaluation and treatment of Infertility. First Edition. Sunders. 1995:63-65.
Speroff L., Glass NG. Clinical Gynecologic Endocrinology and Infertility, 4th Edition, Londen, Wiliams Wilkins. 1994;809-841.
Ulrich D, Transvaginal hysterosonosalpaingo- contrast sonography.1993.
Fernando BM, Francisco R, Newton G, Oshorne Javier B. Three Dimentional hysteroso-nography for the study of endometrial tumors: Comparison with conventional transvaginal sonography, hysteroscopy. Gyneol Oncol. 1997;65:245-52.
Rice JB, London SN, Oliver DL: Re-evaluation of hysterosalpigography in infertility investigation, Obstet Gynecol. 67:718,1986.
Van den Brule FA, Wery O, Huveneers J, Gaspard UJ. Comparison of contrast hysteroso-nography and transvaginal ultrasonography for uterus imaging. J Gynecol Obstet Biol Reprod. (Paris) 1999 May; 28(2): 131-6.
Hamilton JA Lower AM, Hasnain S, Grudzi-nskas JG. Routine use of saline hysterosonogra-phy in 500 consecutive, unselected, infertile women. Hum Reprod. 1998 Sep; 13(9): 2463-73.
Van den Brule FA, Wery O, Huveneers J, Gaspard UJ. Comparison of contrast hysterosonography and transvaginal ultrasonography for uterus imaging. Gynecol Obstet Biol Reprod(Paris).1999;May;28(2):131-6.
Valenzano M, Costantini S, Cucuccio S, Dugnani MC, Paoletti R, Ragni N. Use of hysterosonography in women with abnormal postmenopausal bleeding. Eur J Gynaecol Oncol. 1999;20(3):217-22.
Laifer-Narin SL, Ragavendra N, Lu DS, Sayre J, Perrella RR, Grant EG. Transvaginal saline hysterosonography: characteristics distinguishing malignant and various benign conditions. AJR Am J Roentgenol. 1999 Jun;172(6):1513-20.
Schwarzler P, Concin H, Bosch H, Berlinger A, Wohlgenannt K, Collins WP, Bourne TH. An evaluation of sonohysterography and diagnostic hysteroscopy for the assessment of intrauterine pathology. Ultrasound Obstet Gynecol.1998;May; 11(5):337-42.
Fabres C, Alam V, Balmaceda J, Zegers-Hochschild F, Macknna A, Fernandez E. Comparison of ultrasonography and hysteroscopy in the diagnosis of intrauterine lesions in infertile women. J Am Assoc Gynecol. Laparosc.1998 Nov;5(4):375-8.
Laifer-Narin SL, Ragavendra N, Lu DS, Sayre J., Perrella RR. Grant EG. Transvaginal saline hysterosonography: characteristics distinguishing malignant and various bening conditions. AJR Am J Roentgenol. 1999 Jun;172(6):1513-20.
Van den Brule FA, Wery O, Huveneers J, Gaspard UJ. Contrast hysterosonography: an efficient means of investigation in gynecology. Review of the literature. Gynecol Obstet Biol Reprod. (Paris). 1998 Nov; 27(7):655-64.
Hamilton JA, Larson AJ, Lower AM, Hasnain S, Grudzinskas JG. Routine use of saline hysterosonography in 500 consecutivve, unselected, infertile women. Hum Reprod. 1998Sep; 13(9): 2463-73.
Kupesic S, Kurjak A. Septate uterus: detection and prediction of obstetrical complications by different.
Korell M, Seehaus D, Strowitzki T, Hepp H. Radiologic versus ultrasound fallopian tube imaging. Painfulness of the examination and diagnostic reliability of hystero-salpingography and hysterosalpingo-contrast-ultasonography with echovist 22. Ultraschall Med.1997 Feb;18(1):3-7.
Golan A, Ron-EI R, herman A, Soffer Y, Bukovsky I, Caspi E. Diagnostic hysteroscopy: its value in an in vitro fertilization/ embryo transfer unit. Hum Reprod.1992 Nov; 7(10):1433-4.
Seinera P, Maccario S, Visentin L, Di Gregorio A. Hysteroscopy in an IVF-ER Program. Clinical experience with 360 infertile patients. Acta Obstet. Gynecol. Scand 1988;67(2):135-7.
Kim Ah, McKay H, Keltz MD, Nelson HP, Adamson GD. SOnohysterographic screening before in vitro fertilization. Fertil Steril. 1998 May;69(5):841-4.
Shwayder JM. Hysterosonography as an Altrnative to Office Hysteroscopy. J Am Assoc Gynecol. Laparosc. 1995Aug; 2(4, Supplement): S77.
Schiano A, Jourdain O, Papaxanthos A, Hocke C, Horovitz J, Dallay D. the value of hysteroscopy after repeated implantation failures with in vitro fertilization. Contracept Fertil. Sex 1999 Feb;27(2):129-32.
Kirsop R, Porter R, Torode H, Smith D, Saunders D Aust N Z. The role of hysteroscopy in patients having failed IVF/ GIFT transfer cycles. J Obstet Gynecol. 1991Aug; 31(3): 263-4.
Deichert U, van de Sandt M, Lauth G, Daume E. Transvaginal contrast hysterosonography. A new diagnostic procedure for the differentiation of intrauterine and mymetrial findings. Geburtshilfe Frauenheilkd. 1988Dec; 48(12):835-44.
Fukuda M, Shimizu T, Fukuda K, Yomura W, Shimizu S. Transvaginal hysterosonography for differential diagnosis between submucous and intramural myoma. Gynecol Obstet. Invest 1993;53(4):236-9.
Shwayder JM. Hysterosonography as an Alternative to Office Hysteroscopy. Geburtshilfe Frauenheilkd. 1995Mar; 55(3):143-9.
Journal of Reproduction & Infertility
Volume 1, Issue 1
Winter 2000
Pages 16-23