Cargando…
Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment
Introduction: Simplified ultrasound-based infertility protocols that appear to provide enough information to plan effective management have been described. Thus, the objective of this study is to compare the diagnostic accuracy of the hysterosalpingo-foam sonography (HyFoSy) in tubal patency testing...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8466769/ https://www.ncbi.nlm.nih.gov/pubmed/34575278 http://dx.doi.org/10.3390/jcm10184169 |
_version_ | 1784573224561934336 |
---|---|
author | Ramos, Julia Caligara, Cinzia Santamaría-López, Esther González-Ravina, Cristina Prados, Nicolás Carranza, Francisco Blasco, Víctor Fernández-Sánchez, Manuel |
author_facet | Ramos, Julia Caligara, Cinzia Santamaría-López, Esther González-Ravina, Cristina Prados, Nicolás Carranza, Francisco Blasco, Víctor Fernández-Sánchez, Manuel |
author_sort | Ramos, Julia |
collection | PubMed |
description | Introduction: Simplified ultrasound-based infertility protocols that appear to provide enough information to plan effective management have been described. Thus, the objective of this study is to compare the diagnostic accuracy of the hysterosalpingo-foam sonography (HyFoSy) in tubal patency testing with the traditional hysterosalpngography (HSG) for establishing a new diagnostic strategy in infertility. Material and Methods: Prospective observational diagnostic accuracy was performed in a private fertility clinic in which 106 women undergoing a preconceptionally visit were recruited. All of them had low risk for tubal disease, had performed an HSG and were negative for Chlamydia trachomatis antibody. Main outcome measures were tubal patency and pain grade. Results: Evaluation of tubal patency by HyFoSy showed a total concordance with the results of the previous HSG in 72.6% (n = 77), and a total discordance for 4.7% (n = 6), with the inter-test agreement Kappa equal to 0.57, which means moderate concordance. Among the patients, 59.1% did not report pain during the procedure, while the remaining 48.1% indicated pain in different degrees; patients usually report less pain and only 6.6% described more pain with HyFoSy than with HSG (OR 6.57 (CI 95% 3.11–13.89)). Clinical outcomes after performing HyFoSy were not affected. Conclusions: HyFoSy is in concordance with HSG regarding tubal patency results and it is a less painful technique than HSG. HyFoSy is more economical and can be performed in an exam room only equipped with an ultrasound scanner. Based on these results, HyFoSy could be the first-choice diagnostic option to assess tubal patency in patients with low risk of tubal disease. |
format | Online Article Text |
id | pubmed-8466769 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84667692021-09-27 Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment Ramos, Julia Caligara, Cinzia Santamaría-López, Esther González-Ravina, Cristina Prados, Nicolás Carranza, Francisco Blasco, Víctor Fernández-Sánchez, Manuel J Clin Med Article Introduction: Simplified ultrasound-based infertility protocols that appear to provide enough information to plan effective management have been described. Thus, the objective of this study is to compare the diagnostic accuracy of the hysterosalpingo-foam sonography (HyFoSy) in tubal patency testing with the traditional hysterosalpngography (HSG) for establishing a new diagnostic strategy in infertility. Material and Methods: Prospective observational diagnostic accuracy was performed in a private fertility clinic in which 106 women undergoing a preconceptionally visit were recruited. All of them had low risk for tubal disease, had performed an HSG and were negative for Chlamydia trachomatis antibody. Main outcome measures were tubal patency and pain grade. Results: Evaluation of tubal patency by HyFoSy showed a total concordance with the results of the previous HSG in 72.6% (n = 77), and a total discordance for 4.7% (n = 6), with the inter-test agreement Kappa equal to 0.57, which means moderate concordance. Among the patients, 59.1% did not report pain during the procedure, while the remaining 48.1% indicated pain in different degrees; patients usually report less pain and only 6.6% described more pain with HyFoSy than with HSG (OR 6.57 (CI 95% 3.11–13.89)). Clinical outcomes after performing HyFoSy were not affected. Conclusions: HyFoSy is in concordance with HSG regarding tubal patency results and it is a less painful technique than HSG. HyFoSy is more economical and can be performed in an exam room only equipped with an ultrasound scanner. Based on these results, HyFoSy could be the first-choice diagnostic option to assess tubal patency in patients with low risk of tubal disease. MDPI 2021-09-15 /pmc/articles/PMC8466769/ /pubmed/34575278 http://dx.doi.org/10.3390/jcm10184169 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ramos, Julia Caligara, Cinzia Santamaría-López, Esther González-Ravina, Cristina Prados, Nicolás Carranza, Francisco Blasco, Víctor Fernández-Sánchez, Manuel Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment |
title | Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment |
title_full | Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment |
title_fullStr | Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment |
title_full_unstemmed | Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment |
title_short | Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment |
title_sort | diagnostic accuracy study comparing hysterosalpingo-foam sonography and hysterosalpingography for fallopian tube patency assessment |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8466769/ https://www.ncbi.nlm.nih.gov/pubmed/34575278 http://dx.doi.org/10.3390/jcm10184169 |
work_keys_str_mv | AT ramosjulia diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT caligaracinzia diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT santamarialopezesther diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT gonzalezravinacristina diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT pradosnicolas diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT carranzafrancisco diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT blascovictor diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment AT fernandezsanchezmanuel diagnosticaccuracystudycomparinghysterosalpingofoamsonographyandhysterosalpingographyforfallopiantubepatencyassessment |