Determining the best catheter for sonohysterography

Dessole, Salvatore; Farina, Mauro; Capobianco, Giampiero; Nardelli, Giovanni Battista; Ambrosini, Guido; Meloni, Giovanni Battista

doi:10.1016/s0015-0282(01)01941-0

Cited by 44 publications

(34 citation statements)

References 5 publications

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“…Additionally, they are often limited by available resources in the operating room. There are several specifically designed intrauterine catheters (i. e. for sonohysterography) available, which are blocked with only 1.5-3 ml of fluid or air [2]. The limitation of the pressure aims to avoid pain and vasovagal reactions during catheter blockage in the absence of general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…The limitation of the pressure aims to avoid pain and vasovagal reactions during catheter blockage in the absence of general anesthesia. Although the Foley catheter has primarily been developed for the use of transurethral catheterization, literature supports the use of Foley catheters for chromopertubation [1,2]. Dessole et al evaluated six different types of catheters for sonohysterography and concluded that the Foley catheter was the cheapest, but most difficult for the physician to use and requiring more time for correct positioning.…”

Section: Discussionmentioning

confidence: 99%

“…Placement of a transurethral Foley catheter into the uterine cavity seems to be a cost-sparing tool for application of toluidine blue dye [1]. The Foley catheter is fixed within the uterus by inflating the balloon with 3-5 ml saline [2]. The mean normal capacity of the uterine cavity is 9.2 ml (range 2-21 ml) [3], and safe inflation of a 30 ml balloon has been repeatedly reported [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Uterine rupture after balloon inflation of the intrauterine Foley catheter during laparoscopic chromopertubation

Watrowski

Babbel

Jäger

2016

Wien Klin Wochenschr

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Laparoscopic chromopertubation is considered "gold standard" for checking the tubal patency. Foley catheter is frequently used for blue dye during chromopertubation. Complications associated with the intra-uterine use of Foley catheter are infrequent. The mean normal capacity of the uterine cavity is about 9 ml, and an inflation of up to 30 ml (e. g. during thermal balloon ablation procedures) is considered safe. We report a uterine rupture in a 36-year-old woman undergoing laparoscopic chromopertubation due to primary infertility. Thirteen years ago, the patient had three consecutive laparotomies because of appendicitis, peritonitis and retroperitoneal abscess. For the present laparoscopy, the Foley catheter (Nelaton, charier 10, balloon 5 ml) was used. The first blocking of the balloon with 3.5 ml saline was insufficient; however after inflating with 5 ml, a rupture of the uterine fundus occurred. The balloon remained intact and both tubes appeared patent. The myometrium was sutured and the postoperative course was uneventful. We presume that-in the present case-the expansive capacity of the uterine wall may have been reduced after the series of severe pelvic inflammations. Nevertheless, if using a Foley catheter for the chromopertubation, the optimal pressure for its intrauterine fixation needs still to be determined.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Uterine rupture after balloon inflation of the intrauterine Foley catheter during laparoscopic chromopertubation

Watrowski

Babbel

Jäger

2016

Wien Klin Wochenschr

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“…Ricci et al (2007) believe that compared with other instruments, the balloon catheter in the uterine tubal infertility check play an irreplaceable role. Dessole et al (2001) studied four different balloon catheters and compared them. Their findings showed that the different balloon catheter in terms of reliability, ease of use, and contrast agent had no statistical significance.…”

Section: Discussionmentioning

confidence: 99%

“…However, since the presence of the balloon and the balloon catheter tip increases the block area, the display cannot completely show the uterine cavity and cervix. Hence, performing HSG using a balloon catheter for cervical lesions and some endometrial lesions is effective (Dessole et al, 2001;Chen et al, 2011), yet it increases the false positives (Roma Dalfó et al, 2004). In the future, further investigations on the position of the balloon catheter tip, balloon size, and the size of the relationship between intrauterine pressures are warranted.…”

Section: Discussionmentioning

confidence: 99%

Clinical value of fluid bolus contrast flow meter during hysterosalpingography

Ji¹,

Xu²,

Xia³

et al. 2015

Genet. Mol. Res.

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ABSTRACT. The purpose of this study was to investigate the clinical value of the fluid bolus contrast flow meter during hysterosalpingography. Hysterosalpingography information of 342 cases, which included a manual handset group of 213 cases and a bolus instrument group of 129 cases were reviewed. Comparative analysis was used to compare the two groups in order to assess the clinical adverse reactions, contrast agent reflux, and image quality. In the instrument bolus group compared with the manual handset group, the clinical adverse reactions decreased from 75.12 to 31.78% (P < 0.001); the backflow phenomenon of the contrast agent decreased from 13.62 to 3.10% (P < 0.01); and image quality significantly improved, with the A class film rate increasing from 54.46 to 68.99% (P < 0.01) and the C class film rate decreasing from 8.92 to 2.33% (P < 0.05). The use of a contrast bolus through the liquid inlet of the hysterosalpingography instrument can provide fully dynamic observation, reducing the contrast agent reflux and adverse reactions as well as improving the image quality and diagnostic accuracy. In addition, the medical staff is not subjected to radiographic radiation. Therefore, it is a safe and reliable imaging method.

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Clinical Significance of Increasing Pressure Curve's Slope When Injecting Ultrasound Contrast Agent During Evaluation of Fallopian Tubal Patency

Cai

2021

J of Ultrasound Medicine

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Objective To explore the association between Fallopian tubal patency and the slope of the increasing pressure curve for ultrasound contrast agent. Materials and Methods A total of 136 patients underwent transvaginal 4‐dimensional hysterosalpingo‐contrast sonography (TVS 4D HyCoSy) between August 2015 and January 2016. We divided the patients into 3 groups according to different Fallopian tubal patency status: 71 patients (48.97%) in bilateral tubal patency group, 45 (31.03%) in unilateral tubal patency group, and 20 in bilateral tubal nonpatent group. The ultrasound contrast agent was injected and the pressure curve was recorded automatically in real time using a liquid‐injecting machine that traces it as a pressure curve. The slopes of the different groups are compared through independent sample t test. Results The slopes of the 3 groups were 1.242 ± 0.572, 1.472 ± 0.638, and 2.068 ± 1.236 kPa/s. A correlation was observed between the slope of the increasing pressure curve and tubal patency (R = 0.287, P < .05). The slopes differed significantly between the bilateral tubal patency group and bilateral tubal nonpatent group (P = .001) and between the unilateral tubal patency group and bilateral tubal nonpatent group (P = .012). However, the difference between the bilateral tubal patency and unilateral tubal patency groups was not significant (P = .266). Conclusion The increase of the injecting pressure curve's slope for contrast agent during 4D HyCoSy is associated with the nonpatent degree of the tube. This condition can be used as an objective index of tubal patency and can be a reference in diagnosis and treatment.

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Determining the best catheter for sonohysterography

Cited by 44 publications

References 5 publications

Uterine rupture after balloon inflation of the intrauterine Foley catheter during laparoscopic chromopertubation

Uterine rupture after balloon inflation of the intrauterine Foley catheter during laparoscopic chromopertubation

Clinical value of fluid bolus contrast flow meter during hysterosalpingography

Clinical Significance of Increasing Pressure Curve's Slope When Injecting Ultrasound Contrast Agent During Evaluation of Fallopian Tubal Patency

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