A randomized, prospective, controlled study of laparoscopic dye studies and selective salpingography as diagnostic tests of fallopian tube patency

Hysterosalpingo-contrast-sonography (HyCoSy) in the assessment of tubal patency in endometriosis patients

“…Tubal spasm and selected sided spill, which imbalances tubal resistance, can occur at laparoscopic assessment of tubal patency as well as during more gentle procedures such as HSG and HyCoSy. It is no surprise to observe false positive results in laparoscopy cases [23]. In our study, HyCoSy also demonstrated a good diagnostic performance in cases of tubal occlusion, reporting only 4/80 false positive cases in the endometriosis group and a high sensitivity (85%) and a high PPV (81%).…”

Interventional radiology in female infertility: technique and role

“…They appear to be complementary in the assessment of tubal disease, with selective salpingography being superior for proximal tubal disease and laparoscopy for distal disease [27]. We advocate HSG and salpingography as a first procedure since it is much less invasive than laparoscopy and provides a significant number of relatively ªeasyº pregnancies.…”

Peut-on réellement se passer de la cœlioscopie en cas d’infertilité a trompes normales en hystérosalpingographie ?

“…Ils concluent que lorsque l'HSG date de moins de 10 mois et qu'elle est normale, on ne constate que 4,5 % de lé sions tubaires à la coelioscopie (36 sur 794 procé dures), ce qui ne justifie pas la pratique d'une coelioscopie systé matique (inutile chez 95,5 % des femmes). La constatation d'une occlusion proximale à l'HSG justifie la pratique d'une salpingographie sé lective [33], permettant une recanalisation tubaire avec succè s dans 76 à 95 % des cas (ré occlusion secondaire dans 15 à 30 %) [34].…”