A study of sonosalpingogram compared to laparoscopic chromopertubation in the evaluation of tubal patency

Daniel, Saley; Bens, Ashish; Ramachandran, Lola

doi:10.18203/2320-1770.ijrcog20164362

Cited by 3 publications

(8 citation statements)

References 17 publications

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“…Hajishafiha (29.09 years). 4,13 Majority of our patients had primary infertility similar to other studies. 4,[13][14][15][16][17][18] The average duration of infertility in present study, patients was 5.6 years with the range of 2-11 years which is comparable to various studies.…”

Section: Discussionsupporting

confidence: 86%

“…Saline Infusion Sonosalpingogram has evolved recently as a better option for evaluation of tubal patency as it is a non-invasive procedure, no radiation hazard and no risk of hypersensitivity to contrast agent. 4 It can be done as an office procedure. Fewer studies are done using saline infusion sonosalpingogram for assessment of tubal patency.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of tubal patency in infertile patients with saline infusion sonosalpingogram

Shanmugham

Vidhyalakshmi

Varghese

2018

Int J Reprod Contracept Obstet Gynecol

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Background: The incidence of tubal disease in infertility in India is as high as 40%. The aim of our study is to evaluate the diagnostic accuracy of Saline Infusion Sonosalpingogram (SSG) in the assessment of tubal patency in infertile patients with laparoscopy as the gold standard.Methods: This is a prospective study conducted in the department of obstetrics and gynaecology on 50 consecutive infertile patients. Patients with acute pelvic inflammatory disease were excluded from the study. After complete examination and basic infertility work up, the tubal patency testing by Saline Infusion Sonosalpingogram was performed on day 8 of the cycle, followed by diagnostic laparoscopy with chromopertubation to confirm the tubal patency.Results: Out of 50 enrolled patients, 3 were excluded during the course of study. Thus, the study population comprised of 47 infertile women. During our study, 42 patients had tubes patent on SSG, out of which 41 patients had patent tubes on laparoscopy. 2 patients with blocked tubes on SSG had patent tubes on laparoscopy. 3 patients had blocked tubes on both SSG and laparoscopy. On statistical analysis, the sensitivity of SSG in diagnosing tubal patency is 95.34%, specificity 75%, positive predictive value 97.65% and negative predictive value 60%.Conclusions: Saline Infusion Sonosalpingogram is a simple, safe, convenient procedure for assessment of tubal patency in infertile women. It can be included in basic infertility work up. Hence, laparoscopy can be reserved for patients with tubal block, suspected pelvic pathology and unexplained infertility.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Evaluation of tubal patency in infertile patients with saline infusion sonosalpingogram

Shanmugham

Vidhyalakshmi

Varghese

2018

Int J Reprod Contracept Obstet Gynecol

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“…16 Regarding to the adverse effects, other studies did not report any serious side effects including infectious complication. (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13) In our study, we found only 2 out of 31 patients experienced mild pelvic pain. They were relieved with oral analgesics and rest for 30 minutes.…”

Section: Fig-1: Parity Of Infertility Patientsmentioning

confidence: 68%

“…In the infertile patient, transvaginal sonography is widely used as a means to evaluate the morphology of inner genital tract and to monitor follicular development in stimulated and natural cycles. Transvaginal sonography can give important data about the morphologically altered tubes, very infrequently the normal salpinx can be visualized except for the interstitial part 10 . One of the major Fig.-1 showed that out of 30 patients 19 (63.33%) were of primary infertility while 11(36.67 %) were of secondary sub-fertility.…”

Section: Discussionmentioning

confidence: 99%

“…Recent advances in gynaecological ultrasound can replace routine invasive investigative procedures. This will make the basic infertility investigation less time consuming, less expensive and more acceptable 10 . Sonohysterography (SHG) is a simple, safe, and welltolerated examination technique used for investigation of the uterine cavity and fallopian tubes with very few adverse effects and a low occurrence of complications.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Saline Sono Salpingography (SSG) and Laparoscopy with Chromopertubation in Evaluation of Tubal Patency

Ghani

Ila

Tasmin

et al. 2019

J Shaheed Suhrawardy Med Coll

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Background In the field of infertility, tubal factor has a great role. So the assessment of tubal patency belongs to the initial diagnostic tests in the work-up of an infertile woman. During the past few years, sonosalpingography has been suggested as the firstline method to study tubal patency. This comparative study of transvaginal saline SSG to the gold standard method of diagnostic laparoscopy with chromopertubation was performed for the assessment of tubal patency in infertile women. Methods At first thirty-four patients suffering from primary or secondary infertility were evaluated for tubal patency with sonosalpingography using a pediatric Foley urinary catheter using saline solution as a contrast medium. The uterine tubes were evaluated. One patient conceived and two patients denied before the scheduled laparoscopy. Ultimately they were excluded from the study. In the study, finally 31 patients were enrolled and the results of SSG were compared to the findings of laparoscopy and chromotubation performed independently. Results The findings of both methods agreed in 26 out of 31 tubes (concordance, 93.5%). The sensitivity of sonosalpingography in diagnosing tubal patency was 96.2% and the specifcity 80%. The positive predictive value for tubal patency by sonosalpingography was 96.29% and the negative predictive value 80%. Adverse events of sonosalpingography included mild abdominal pain in some patient. No infectious complications were recorded. Conclusions The results confirm that sonosalpingography using saline as a contrast medium is a reliable, simple and well-tolerated method to assess tubal patency in an outpatient setting. In addition, the procedure can be performed without prophylactic antibiotics. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 52-58

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A Study on the Role of Saline Sonosalpingography as a Test For Tubal Patency in the Assessment of Infertility

Das

Majumdar

Deka

2021

IJAR

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Background: Tubal pathology is one of the major causes of infertility and evaluation of fallopian tubes forms an essential part of work up of infertility patients. The aim of the study was to evaluate tubal patency by Saline Sonosalpingography and compare the results with that of hysterosalpingography. Methods: A total of 22 patients with primary infertility and 13 patients with secondary infertility attending our Obstetrics and Gynecology department were recruited for the study from July 2019 to June 2020. All the study subjects underwent Saline Sonosalpingography on day 7 to day 9 and Hysterosalpingography on 7th to 11th day of the menstrual cycle. Data was collected and compared to assess the sensitivity and specicity of Sonosalpingography with Hysterosalpingography as reference standard. Results: Sonosalpingography (SSG) has 98.18% sensitivity and 66.67% specicity in comparison to hysterosalpingography (HSG). Analysis of the raw data gave positive predictive value of 91.52% and negative predictive value of 90.9%. Near perfect agreement (Cohen's Kappa coefcient =0.9) was seen between the results of the two methods (SSG and HSG). Conclusions: Sonosalpingogrpahy has a high sensitivity for tubal patency and is less invasive. It is found to be a reliable and relatively less expensive diagnostic procedure in the management of infertility in females. Easy availability and accessibility of ultrasound in all primary health care centres denitely can prove superior to conventional method of diagnosis of tubal patency in such patient.

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A study of sonosalpingogram compared to laparoscopic chromopertubation in the evaluation of tubal patency

Cited by 3 publications

References 17 publications

Evaluation of tubal patency in infertile patients with saline infusion sonosalpingogram

Evaluation of tubal patency in infertile patients with saline infusion sonosalpingogram

Comparative Study of Saline Sono Salpingography (SSG) and Laparoscopy with Chromopertubation in Evaluation of Tubal Patency

A Study on the Role of Saline Sonosalpingography as a Test For Tubal Patency in the Assessment of Infertility

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