Does hysterosalpingo-foam sonography have any therapeutic effect? A systematic review

Piccioni, Maria Grazia; Tabacco, Sara; Merlino, Lucia; Negro, Valentina; Mazzeo, Allegra; Logoteta, Alessandra; Prete, Federica Del; Riganelli, Lucia; Giannini, Andrea; Monti, Marco

doi:10.23736/s0026-4784.20.04514-1

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…Another study [ 34 ] published by Tanaka et al in 2018 revealed a 30.9% pregnancy occurrence rate within the first 6 months using artificial reproductive technologies or that obtained spontaneously. A systematic review by Piccioni et al published in 2020 [ 35 ] concluded that tubal flushing, including by HyFoSy, improved the embryo implantation rate and spontaneously obtaining pregnancy; thus, HyFoSy may also have a therapeutic role besides the diagnostic one. In the literature, there is a current opinion sustaining the idea that tubal flushing realized by HyFoSy is able to improve the chance of spontaneous pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Technical Tips and Tricks after 10 Years of HyFoSy for Tubal Patency Testing

Bohîlțea

Mihai

Stănică

et al. 2022

JCM

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Background: Hysterosalpingo-foam sonography (HyFoSy) has gained popularity in the last decades, as it represents a feasible, well-tolerated, and minimally invasive method of evaluation of tubal patency in cases of infertility. The purpose of this study was to communicate the technical tips and tricks based on our experience in performing HyFoSy, with the aim to improve the feasibility, to reduce the pain, and to evaluate pregnancy-obtaining rate after procedure. Methods: Our observational study includes 672 patients from infertile couples who underwent HyFoSy for tubal patency evaluation. During HyFoSy, tubal pathway and patency as well as the level of pain were evaluated. A telephonic questionnaire was conducted in order to assess the pregnancy obtaining rate in the first 3 months and more than 3 months after the procedure. Results: The median age in our group was 33.5 years. Most of our patients (61.16%) underwent HyFoSy in the 8–10 days of the menstrual cycle. Tubal patency was present bilaterally in 86% cases, unilaterally in 11% of patients, and was absent in 3% of cases; 75% of patients related absent or tolerable pain, 17% described HyFoSy as a painful procedure, and 8% experienced extreme pain. After HyFoSy, pregnancy was naturally obtained in 10.86% of cases within the first 3 months after HyFoSy. Conclusions: HyFoSy represents a useful, easy to use, and painless tool in female infertility evaluation and should be considered as a complementary method of the transvaginal ultrasonography, completing the genital tract imaging with information about the hidden part of the standard examination: tubal patency. HyFoSy provides information about patency, caliber regularity, pathway, and occlusion location of the fallopian tubes; therefore, it should be introduced along with transvaginal ultrasound as a first-line infertility exploration method.

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Section: Discussionmentioning

confidence: 99%

Technical Tips and Tricks after 10 Years of HyFoSy for Tubal Patency Testing

Bohîlțea

Mihai

Stănică

et al. 2022

JCM

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“…One systematic review found that the use of an oil-based contrast agent was associated with increased pregnancy and live birth rates compared to the different outcomes of other contrast agents (51). However, this view is still controversial, and a large-scale prospective study is needed for verification (55). Nevertheless, there is no doubt that using the contrast agent, perfluoropropane-albumin microsphere in TV 4D HyCoSy not only plays a part in flushing and dredging the fallopian tube, but can also improve blood supply and promote the absorption of inflammation, while the use of an oil-based contrast agent may impose potential negative effects on thyroid function and neurodevelopment (56,57).…”

Section: Discussionmentioning

confidence: 99%

The value of transvaginal 4-dimensional hysterosalpingo-contrast sonography in predicting the necessity of assisted reproductive technology for women with tubal factor infertility

Gu¹,

Yang²,

Zhao³

et al. 2021

Quant Imaging Med Surg

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Background: More than 50 million women suffer from infertility worldwide, among whom 30% have associated fallopian tube pathology. Fortunately, the diagnostic accuracy of tubal patency has been enhanced with the consistent development of ultrasound imaging technology, especially the invention of transvaginal 4-dimensional hysterosalpingo-contrast sonography (TV 4D HyCoSy). However, detailed imaging data for evaluating the tubal condition for spontaneous conception and assessing the necessity of assisted reproductive technology (ART) have yet to be amassed.Methods: Patients with tubal factor infertility (TFI) who received TV 4D HyCoSy were recruited for this study. They were divided into two groups according to the method of conception: the natural pregnancy group (patients who naturally conceived within 3 months after TV 4D HyCoSy) and the assisted reproduction group (patients who failed to conceive naturally within the 3 months but successfully conceived through ART). Logistic regression analysis was performed to examine the data obtained from participants' medical history and TV 4D HyCoSy investigation.Results: Of the initial 1,433 women, 348 were excluded due to exclusion criteria or lack of follow-up. A total of 1,085 TFI patients were finally included, with individuals in the natural pregnancy group accounting for 27.74% (n=301), and those in the ART group accounting for 37.33% (n=405). The age was younger and the duration of infertility was shorter in the group of women who conceive spontaneously after TV 4D HyCoSy (P<0.05). In terms of imaging data, their endometrial thickness was thinner, right fallopian tube wall was more intact, morphology of the right fallopian tube was smoother, and their ovarian motility (bilateral), fallopian tube visualization (bilateral) and overflow condition of the contrast agent from the fimbriae of fallopian tube (bilateral) were better. In addition, the resistance of the contrast agent injection was less likely to be persistent, reflux was less likely to happen and 0/1 dispersion of the contrast agent around the ovary (bilateral) were more likely to be annular (P<0.05). Conclusions:The imaging data gathered from TV 4D HyCoSy in TFI patients were comprehensive, which suggested that TV 4D HyCoSy could have potential to be used to assess the necessity of post-HyCoSy ART intervention in patients with TFI. This could be of benefit in reducing the incidence of overtreatment and potential complications of ART.

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“…A number of research have been conducted on various contrast agents that might be utilized during this procedure, and more recent studies have looked at the hysterosalpingo-foam sonography (HyFoSy) process as a new method for examining the function of the tubes in infertile women. HyFoSy is a technique that is frequently employed to check for tubal patency nowadays, although its effectiveness in terms of pregnancy outcomes is not entirely known [37].…”

Section: Review Of Literaturementioning

confidence: 99%

The role of salpingoscopy and falloposcopy in current clinical practice: a review

Patra,

Dave,

Manchanda

et al. 2024

Ital J Gynaecol Obstet

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Objective. Tubal pathology accounts for a third of infertility cases of which about 80 percent affects the ampulla and distal tube and 10 -25 percent the proximal tube. Infertile patients with tubal pathology have two options for treatment, in vitro fertilization or tubal reconstructive microsurgery. The present study aims to perform a literature review to give a comprehensive knowledge of the role of salpingoscopy/ falloposcopy in the assessment of tubal pathology in infertile couples and its impact on clinical practice. Materials and Methods.A review of various articles on the technique of salpingoscopy/ falloposcopy and its clinical use in infertile patients was undertaken by searching databases like Pubmed, Scopus, Medline, Cochrane database, Embase, Web of science, Science direct, etc. The studies describing the methods and clinical scope of salpingoscopy and falloposcopy were included in the present study.Results. The method of salpingoscopy/ falloposcopy and its role in the management of infertile patients has been studied in various aspects. The technique, the assessment and classification of tubal pathology, and the clinical impact on the management of the infertile couple has been reported as per actual literature data.Conclusions. Salpingoscopy and falloposcopy are two important methods to assess the tubal mucosal surface. The conventional methods of examining the tubes by laparoscopy and HSG are inadequate for the study of tubal pathology. An endoscopic examination of the fallopian tubes along with HSG and laparoscopic evaluation of the pelvis will give complete information about the fallopian tubes.

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Does hysterosalpingo-foam sonography have any therapeutic effect? A systematic review

Cited by 7 publications

References 23 publications

Technical Tips and Tricks after 10 Years of HyFoSy for Tubal Patency Testing

Technical Tips and Tricks after 10 Years of HyFoSy for Tubal Patency Testing

The value of transvaginal 4-dimensional hysterosalpingo-contrast sonography in predicting the necessity of assisted reproductive technology for women with tubal factor infertility

The role of salpingoscopy and falloposcopy in current clinical practice: a review

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