Experience improves performance of hysterosalpingo-contrast sonography (HyCoSy): a comprehensive and well-tolerated screening modality for the subfertile patient.

Autor:	Saunders RD; Department of Obstetrics, Gynecology, and Women's Health, University of Louisville, Louisville, KY, USA. rhiana.saunders@amedd.army.mil, Nakajima ST, Myers J
Jazyk:	angličtina
Zdroj:	Clinical and experimental obstetrics & gynecology [Clin Exp Obstet Gynecol] 2013; Vol. 40 (2), pp. 203-9.
Abstrakt:	Purpose: To investigate the clinical observations, provider experience, safety, and tolerance of the hysterosalpingo-contrast sonography (HyCoSy) procedure. Materials and Methods: A retrospective study design in which data was collected from ninety-six subfertile women who underwent the HyCoSy procedure at the University of Louisville over a 16-month interval. Results: Ninety-six HyCoSy procedures were performed by a single investigator and contained complete records for review. The authors observed significant decreases in the quantities of saline and air utilized per procedure over time (p < 0.0001 and p = 0.0001). Results from the HyCoSy studies were more often non-diagnostic or non-patent in women with a body mass index (BMI) > 30. Reported pain scores did not statistically differ over the course of the study interval. There were no procedure-related complications noted. Conclusion: The HyCoSy procedure is a timely and minimally invasive study that can be implemented in an office setting with minimal prior operator experience that improves over time.
Databáze:	MEDLINE
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