Sonohysterosalpingography: Comparison of foam and saline solution

Piccioni, Maria Grazia; Riganelli, Lucia; Filippi, Valentina; Fuggetta, Eliana; Colagiovanni, Vanessa; Imperiale, Ludovica; Caccetta, Jlenia; Panici, Pierluigi Benedetti; Porpora, Maria Grazia

doi:10.1002/jcu.22412

Cited by 31 publications

(16 citation statements)

References 20 publications

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“…Among the four pregnant women, two experienced intrauterine hysteroscopy (one had operative hysteroscopy for U3 uterine anomaly; and one had hysteroscopy for G1 fibroid) performed at least 12 months prior to the ART cycle. Since it is well-known that an increase in pregnancy outcome is achieved in the 3-6 months following hysteroscopy, we would like to underline that in our patients a correlation between the increase in pregnancy outcome and hysteroscopy was thus avoided (Neerja and Jain, 2014;Di Spiezio Sardo et al, 2016;Piccioni et al, 2017;Riganelli et al, 2018).…”

Section: Discussionmentioning

confidence: 92%

Structural Variations of Vaginal and Endometrial Microbiota: Hints on Female Infertility

Riganelli

Iebba

Piccioni

et al. 2020

Front. Cell. Infect. Microbiol.

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Microbiota are microorganismal communities colonizing human tissues exposed to the external environment, including the urogenital tract. The bacterial composition of the vaginal microbiota has been established and is partially related to obstetric outcome, while the uterine microbiota, considered to be a sterile environment for years, is now the focus of more extensive studies and debates. The characterization of the microbiota contained in the reproductive tract (RT) of asymptomatic and infertile women, could define a specific RT microbiota associated with implantation failure. In this pilot study, 34 women undergoing personalized hormonal stimulation were recruited and the biological samples of each patient, vaginal fluid, and endometrial biopsy, were collected immediately prior to oocyte-pick up, and sequenced. Women were subsequently divided into groups according to fertilization outcome. Analysis of the 16s rRNA V4-V5 region revealed a significant difference between vaginal and endometrial microbiota. The vaginal microbiota of pregnant women corroborated previous data, exhibiting a lactobacilli-dominant habitat compared to non-pregnant cases, while the endometrial bacterial colonization was characterized by a polymicrobial ecosystem in which lactobacilli were exclusively detected in the group that displayed unsuccessful in vitro fertilization. Overall, these preliminary results revisit our knowledge of the genitourinary microbiota, and highlight a putative relationship between vaginal/endometrial microbiota and reproductive success.

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Section: Discussionmentioning

confidence: 92%

Structural Variations of Vaginal and Endometrial Microbiota: Hints on Female Infertility

Riganelli

Iebba

Piccioni

et al. 2020

Front. Cell. Infect. Microbiol.

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“…Therefore, attention should be given to the three-dimensional ultrasound examination of the uterine cavity shape. 14 Unreasonable operation during radiography would also cause misdiagnosis. 15 When the balloon is filled and becomes too large, or the position of the balloon is too high, the resistance of the bolus injection of contrast agent would be increased, and the contrast agent would not be able to flow outward smoothly.…”

Section: Discussionmentioning

confidence: 99%

Causes of misdiagnosis in assessing tubal patency by transvaginal real-time three-dimensional hysterosalpingo-contrast sonography

Liang

Gao

et al. 2019

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE This study aims to investigate the causes of misdiagnosis in assessing tubal patency by transvaginal real-time three-dimensional hysterosalpingo-contrast sonography (TVS RT-3D-HyCoSy), in order to improve the diagnostic efficiency of TVS RT-3D-HyCoSy. METHODS A total of 162 oviducts of 83 infertility patients were examined by TVS RT-3D-HyCoSy. These results were compared with the gold standard for laparoscopic dye studies, and the misdiagnosed cases were analyzed. RESULTS TVS RT-3D-HyCoSy revealed that 68 oviducts were unobstructed and 94 obstructed. The results for the 144 oviducts were in line with the gold standard, while those for 18 oviducts were not. The accuracy rate of the TVS RT-3D-HyCoSy was 88.9%, and the misdiagnosis rate was 11.1%. The main causes of misdiagnosis included contrast medium countercurrent and diffusion, oviduct spasm, abnormal shape or position of the oviduct, pelvic adhesion, and poor imaging operation. CONCLUSION TVS RT-3D-HyCoSy can well-evaluate tubal patency, and understand and improve the cause of misdiagnosis. Furthermore, the diagnostic efficiency of TVS RT-3D-HyCoSy can still be further improved.

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“…74 A small observational study compared HyFoSy and HyCoSy to laparoscopy, and found HyFoSy to be superior with 94.4% concordance with laparoscopy (sensitivity of 87.5% and specificity of 100%), while HyCoSy showed concordance with laparoscopy in 57.8% (sensitivity of 50% and specificity of 66.6%). 75 The preliminary results of the FOAM study show that HyFoSy and HSG have a concordance of 85%. 52 Furthermore, a diagnostic accuracy study compared air/saline HyCoSy, HyFoSy, and HyFoSy with high-definition flow (a bidirectional Doppler feature) with the gold standard of laparoscopy with dye.…”

Section: Sensitivity and Specificity And Reliability Of Tubal Patencmentioning

confidence: 93%

Tubal Flushing Treatment for Unexplained Infertility

et al. 2020

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Tubal patency testing was initially introduced as a diagnostic test. However, it has been observed that some tubal patency tests also have a therapeutic effect. This therapeutic effect can be influenced by the contrast medium used during tubal flushing. In this review, we discuss current evidence associated with different methods for tubal flushing and their potential impact on reproductive outcomes in women with unexplained infertility. Furthermore, we discuss their diagnostic accuracy, safety, and cost-effectiveness.

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Sonohysterosalpingography: Comparison of foam and saline solution

Abstract: HyFoSy allows a more accurate diagnosis of tubal patency compared with HyCoSy. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:67-71, 2017.

Cited by 31 publications

References 20 publications

Structural Variations of Vaginal and Endometrial Microbiota: Hints on Female Infertility

Structural Variations of Vaginal and Endometrial Microbiota: Hints on Female Infertility

Causes of misdiagnosis in assessing tubal patency by transvaginal real-time three-dimensional hysterosalpingo-contrast sonography

Tubal Flushing Treatment for Unexplained Infertility

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