Introduction: The evaluation of uterine cavity and tubal status is a necessary prerequisite for patients undergoing initial evaluation for infertility and in case of abnormal uterine bleeding. Sonohysterography (SHG) is a technique for assessing uterine anomalies and tubal status. This diagnostic procedure is carried out after injecting sterile saline solution into the uterine cavity under continuous sonographic visualisation. The aim of this comparative clinical study was to evaluate the usefulness of SHG in detecting uterine cavity anomalies in comparison with other methods such as transvaginal ultrasonography (TU) and hysteroscopy (HYS). SHG was also compared with hysterosalpingography (HSG) for the diagnosis of tubal patency. Material and methods: A total of 620 patients, (238 infertile patients and 382 affected by abnormal uterine bleeding in fertile age) aged between 23 and 48 years (mean age 33.5) were studied. TU, SHG and HYS (with endometrial biopsy) which was considered the gold standard, were performed to each patients. HSG was performed in 238 infertile patients. Results: TU showed 299 uterine pathologies out of 620 (48.5%) patients whereas SHG 389 (62.7%) and HYS 406 (65.5%). The sensibility of TU, SHG and HYS were respectively 74.2%, 95.8% and 100% whereas the specificity were 92.4%, 97.9% and 98.9%. Tubes resulted patent in 154 (64.7%) and 205 (84.1%) out of 238 infertile patients respectively after SHG and HSG. We observed no severe complications among patients undergoing SHG. The SHG lasted 15 ± 5.6 minutes (mean ± SD). Conclusion: SHG allows a precise screening of endometrial and myometrial abnormalities. This technique can help in the formulation of an immediate diagnosis because it can be performed during an abnormal uterine bleeding. Therefore, SHG is a rapid, easy, cheap and non-invasive tool, which is highly recommended for the diagnosis of intrauterine pathologies and tubal status.

Evaluation of uterine cavity and tubal status by sonohysterography

MARCI, Roberto;
2002

Abstract

Introduction: The evaluation of uterine cavity and tubal status is a necessary prerequisite for patients undergoing initial evaluation for infertility and in case of abnormal uterine bleeding. Sonohysterography (SHG) is a technique for assessing uterine anomalies and tubal status. This diagnostic procedure is carried out after injecting sterile saline solution into the uterine cavity under continuous sonographic visualisation. The aim of this comparative clinical study was to evaluate the usefulness of SHG in detecting uterine cavity anomalies in comparison with other methods such as transvaginal ultrasonography (TU) and hysteroscopy (HYS). SHG was also compared with hysterosalpingography (HSG) for the diagnosis of tubal patency. Material and methods: A total of 620 patients, (238 infertile patients and 382 affected by abnormal uterine bleeding in fertile age) aged between 23 and 48 years (mean age 33.5) were studied. TU, SHG and HYS (with endometrial biopsy) which was considered the gold standard, were performed to each patients. HSG was performed in 238 infertile patients. Results: TU showed 299 uterine pathologies out of 620 (48.5%) patients whereas SHG 389 (62.7%) and HYS 406 (65.5%). The sensibility of TU, SHG and HYS were respectively 74.2%, 95.8% and 100% whereas the specificity were 92.4%, 97.9% and 98.9%. Tubes resulted patent in 154 (64.7%) and 205 (84.1%) out of 238 infertile patients respectively after SHG and HSG. We observed no severe complications among patients undergoing SHG. The SHG lasted 15 ± 5.6 minutes (mean ± SD). Conclusion: SHG allows a precise screening of endometrial and myometrial abnormalities. This technique can help in the formulation of an immediate diagnosis because it can be performed during an abnormal uterine bleeding. Therefore, SHG is a rapid, easy, cheap and non-invasive tool, which is highly recommended for the diagnosis of intrauterine pathologies and tubal status.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/1681515
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