Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment
| Autor: | Esther Santamaría-López, Cristina González-Ravina, J. Ramos, C. Caligara, Nicolás Prados, F. Carranza, Víctor Blasco, Manuel Fernández-Sánchez |
|---|---|
| Přispěvatelé: | Universidad de Sevilla. Departamento de Cirugía |
| Rok vydání: | 2021 |
| Předmět: |
Infertility
medicine.medical_specialty Concordance Diagnostic accuracy Article HyFoSy HSG Medicine In patient Tubal disease Hysterosalpingography tubal patency medicine.diagnostic_test business.industry Ultrasound General Medicine hysterosalpingography medicine.disease hysterosalpingo-foam sonography medicine.anatomical_structure Radiology hysterosalpingo-contrast sonography business Fallopian tube |
| Zdroj: | Journal of clinical medicine r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 4169, p 4169 (2021) Volume 10 Issue 18 |
| ISSN: | 2077-0383 |
| Popis: | Introduction: Simplified ultrasound-based infertility protocols that appear to provide enough information to plan effective management have been described. Thus, the objective of this study is to compare the diagnostic accuracy of the hysterosalpingo-foam sonography (HyFoSy) in tubal patency testing with the traditional hysterosalpngography (HSG) for establishing a new diagnostic strategy in infertility. Material and Methods: Prospective observational diagnostic accuracy was performed in a private fertility clinic in which 106 women undergoing a preconceptionally visit were recruited. All of them had low risk for tubal disease, had performed an HSG and were negative for Chlamydia trachomatis antibody. Main outcome measures were tubal patency and pain grade. Results: Evaluation of tubal patency by HyFoSy showed a total concordance with the results of the previous HSG in 72.6% (n = 77), and a total discordance for 4.7% (n = 6), with the inter-test agreement Kappa equal to 0.57, which means moderate concordance. Among the patients, 59.1% did not report pain during the procedure, while the remaining 48.1% indicated pain in different degrees patients usually report less pain and only 6.6% described more pain with HyFoSy than with HSG (OR 6.57 (CI 95% 3.11–13.89)). Clinical outcomes after performing HyFoSy were not affected. Conclusions: HyFoSy is in concordance with HSG regarding tubal patency results and it is a less painful technique than HSG. HyFoSy is more economical and can be performed in an exam room only equipped with an ultrasound scanner. Based on these results, HyFoSy could be the first-choice diagnostic option to assess tubal patency in patients with low risk of tubal disease. |
| Databáze: | OpenAIRE |
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