Three‐dimensional hysterosalpingo‐contrast sonography (3D‐HyCoSy) as an outpatient procedure to assess infertile women: a pilot study

Abstract

3D-HyCoSy provided advantages of better assessment of uterine cavity over XHSG. Compared with conventional XHSG, the efficacy of 3D-HyCoSy to assess tubal patency was acceptable. In addition, the procedure of 3D-HyCoSy appears to be better tolerated, requiring no sedation or anesthesia and a reduced examination time. Thus, 3D-HyCoSy with saline as a contrast medium is feasible and could comprise a routine outpatient procedure in the initial evaluation of infertile women.

Three-Dimensional Hysterosalpingo-Contrast-Sonography for the Assessment of Tubal Patency in Women with Infertility: A Systematic Review with Meta-Analysis

“…One study using 2D-HyCoSy as reference standard was excluded because a 2 × 2 table could not be constructed [8]. Therefore, 9 studies were ultimately included in this systematic review [13,14,15,16,17,18,19,20,21]. No additional studies were found from references cited in the papers included in the review.…”

“…Regarding the domain of patient selection bias, 3 studies did not explicitly report or were not clear regarding patients' inclusion criteria [14,19,20]. All studies performed the index test without knowledge of the results of the reference standard except one study [16] where some patients underwent HSG before the 3D-HyCoSy and it was not possible to determine if the observer was blind to its results.…”

Three- or four-dimensional hysterosalpingo contrast sonography for diagnosing tubal patency in infertile females: a systematic review with meta-analysis

“…4,7,37 Automated 3D volume acquisition of the entire fallopian tube easily shows the course of the tube and image acquisition also permits storage and later analyses of captures. 7,38 However, because the 3D HyCoSy is a static imaging method, it cannot display the real-time process of contrast agent flow in fallopian tubes. Moreover, it is difficult to identify the morphology of the fallopian tubes by 3D HyCoSy among patients with myometrium venous reflux.…”

Sono Hysterosalpingography (Shsg): A Useful Adjuvant in Infertility Evaluation

“…(8,9) Thus sonosalpingohysterography offers a much less invasive method of diagnosing tubal pathology while maintaining a high sensitivity and specificity similar to that of laparoscopic chromopertubation Moreover, it can be done for patients who have bronchial asthma or cardiac problems and are temporarily unfit for surgery. (10,11,12) Sonohysterosalpingography eliminated the need for iodinated contrast and ionixing radiations with their associated risks. There is no need for radiologic facilities or operation with anaesthesia.…”