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Sonohysterosalpingography: Comparison of foam and saline solution
Author(s) -
Piccioni Maria Grazia,
Riganelli Lucia,
Filippi Valentina,
Fuggetta Eliana,
Colagiovanni Vanessa,
Imperiale Ludovica,
Caccetta Jlenia,
Panici Pierluigi Benedetti,
Porpora Maria Grazia
Publication year - 2017
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22412
Subject(s) - medicine , laparoscopy , concordance , saline , ultrasound , surgery , nuclear medicine , radiology , anesthesia
Purpose To compare sonohysterosalpingography (sono‐HSG) with foam instillation (HyFoSy) versus saline solution (HyCoSy) in the evaluation of tubal patency. Methods We prospectively enrolled 37 infertile women, scheduled for laparoscopy. The women were randomized into two groups: HyFoSy (group I) and HyCoSy (group II). The patients of both groups underwent laparoscopy with dye test. We assessed the diagnostic performance (sensitivity, specificity, and overall accuracy) of HyFoSy and HyCoSy, compared with laparoscopy and dye test, in the assessment of tubal patency. Results Sono‐HSG findings in tubal patency assessment obtained in the HyFoSy group were concordant with laparoscopic results in 94.4% of cases, with a sensitivity of 87.5% and a specificity of 100%, whereas in the HyCoSy group, concordance occurred in only 57.8% of examinations, with a sensitivity of 50% and a specificity of 66.6%. Conclusions HyFoSy allows a more accurate diagnosis of tubal patency compared with HyCoSy. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45 :67–71, 2017;