1. First experiences with hysterosalpingo-foam sonography (HyFoSy) for office tubal patency testing
- Author
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Mark Hans Emanuel, Maaike Weber, Michelle van Vliet, Niek Exalto, and Obstetrics & Gynecology
- Subjects
Adult ,medicine.medical_specialty ,Contrast Media ,Fallopian Tube Patency Tests ,Teaching hospital ,Pregnancy ,Tubal occlusion ,medicine ,Humans ,Prospective Studies ,Hysterosalpingography ,Prospective cohort study ,Fallopian Tubes ,Ultrasonography ,medicine.diagnostic_test ,business.industry ,Rehabilitation ,Ultrasound ,Obstetrics and Gynecology ,Tubal pathology ,Fallopian Tube Diseases ,medicine.anatomical_structure ,Reproductive Medicine ,Infertility ,Female ,Radiology ,business ,Fallopian tube - Abstract
Background This study was conducted to describe the first experiences with hysterosalpingo-foam sonography (HyFoSy) as a first step routine office procedure for tubal patency testing. Methods A prospective observational cohort study was started in a university affiliated teaching hospital. In 2010, 73 patients with subfertility and a low risk of tubal pathology were examined. A non-toxic foam containing hydroxymethylcellulose and glycerol was applicated through a cervical applicator for contrast sonography (HyFoSy). Tubal patency was determined by transvaginal ultrasonographic demonstration of echogenic dispersion of foam in the Fallopian tube and/or the peritoneal cavity. Only in case patency could not be demonstrated, a hysterosalpingography (HSG) was performed as a control. Results In 67 out of 73 (92%) patients, a successful procedure was performed. In 57 out of 73 (78%) cases, there was no further need for a HSG. In five patients (5/73; 7%) tubal occlusion was confirmed by HSG and in five patients (5/73; 7%) there was discordance between HyFoSy and HSG. Of 73 patients, 14 (19%) conceived within a median of 3 months after the procedure. Conclusions HyFoSy is a successful procedure to demonstrate tubal patency as a first step office procedure.
- Published
- 2012