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...

ver descrição completa

Detalhes bibliográficos
Autores: Ramos, Julia, Caligara, Cinzia, Santamaría López, Esther, González Ravina, Cristina, Prados, Nicolás, Carranza, Francisco, Blasco, Víctor, Fernández Sánchez, Manuel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/137665
Acesso em linha:https://hdl.handle.net/11441/137665
https://doi.org/10.3390/jcm10184169
Access Level:acceso abierto
Palavra-chave:Tubal patency
Hysterosalpingo-contrast sonography
Hysterosalpingo-foam sonography
Hysterosalpingography
HyFoSy
HSG
id ES_5fea34bcf5cd25efe5af06b8326fed52
oai_identifier_str oai:idus.us.es:11441/137665
network_acronym_str ES
network_name_str España
repository_id_str
spelling Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency AssessmentRamos, JuliaCaligara, CinziaSantamaría López, EstherGonzález Ravina, CristinaPrados, NicolásCarranza, FranciscoBlasco, VíctorFernández Sánchez, ManuelTubal patencyHysterosalpingo-contrast sonographyHysterosalpingo-foam sonographyHysterosalpingographyHyFoSyHSGIntroduction: 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 diseasMDPICirugía2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/137665https://doi.org/10.3390/jcm10184169reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Clinical Medicine (JCM), 10 (18), 4169.https://www.mdpi.com/2077-0383/10/18/4169/htminfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1376652026-06-17T12:51:07Z
dc.title.none.fl_str_mv 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
spellingShingle Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment
Ramos, Julia
Tubal patency
Hysterosalpingo-contrast sonography
Hysterosalpingo-foam sonography
Hysterosalpingography
HyFoSy
HSG
title_short 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_sort Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment
dc.creator.none.fl_str_mv Ramos, Julia
Caligara, Cinzia
Santamaría López, Esther
González Ravina, Cristina
Prados, Nicolás
Carranza, Francisco
Blasco, Víctor
Fernández Sánchez, Manuel
author Ramos, Julia
author_facet Ramos, Julia
Caligara, Cinzia
Santamaría López, Esther
González Ravina, Cristina
Prados, Nicolás
Carranza, Francisco
Blasco, Víctor
Fernández Sánchez, Manuel
author_role author
author2 Caligara, Cinzia
Santamaría López, Esther
González Ravina, Cristina
Prados, Nicolás
Carranza, Francisco
Blasco, Víctor
Fernández Sánchez, Manuel
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Cirugía
dc.subject.none.fl_str_mv Tubal patency
Hysterosalpingo-contrast sonography
Hysterosalpingo-foam sonography
Hysterosalpingography
HyFoSy
HSG
topic Tubal patency
Hysterosalpingo-contrast sonography
Hysterosalpingo-foam sonography
Hysterosalpingography
HyFoSy
HSG
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 diseas
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/137665
https://doi.org/10.3390/jcm10184169
url https://hdl.handle.net/11441/137665
https://doi.org/10.3390/jcm10184169
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine (JCM), 10 (18), 4169.
https://www.mdpi.com/2077-0383/10/18/4169/htm
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869409253448482816
score 15,301603

Registos relacionados