Management of detection of tubal patency. A new available method performed in gynecologic practice – hysterosalpingo-foam sonography


Authors: Jana Daňková Kučerová 1;  Petr Kovář 2;  Dagmar Smetanová 3;  Martin Hynek 3;  Tomáš Adamus 4
Authors‘ workplace: Gynprenatal s. r. o., Havířov, vedoucí lékař MUDr. Petr Kovář 1;  Katedra chirurgických oborů (gynekologie) LF OU, Ostrava, vedoucí katedry MUDr. Petr Vávra, Ph. D. 2;  Gennet s. r. o, Centrum lékařské genetiky a reprodukční medicíny, Praha 3;  Katedra biomedicínských oborů LF OU, Ostrava, vedoucí katedry doc. RNDr. Kristian Šafarčík, Ph. D. 4
Published in: Prakt Gyn 2014; 18(4): 242-245
Category: Gynecology and Obstetrics

Overview

Introduction:
Exclusion of tubal obstruction belongs to the first examinations absolved by every subfertile couple. There are several methods available, each having its merits and drawbacks.

Aim:
We are familiarizing medical public with a new accessible method confirming the patency of tubes which can be carried out in a gynecologic practice. We make comparison between laparoscopic, hydrolaparoscopic, hysterosalpingographic, kymo-insufflation and hysterosalpingo-sonographic examination. Based on literature abroad we are presenting sorting criterions for choosing suitable method and possibility of individual approach to the each patient.

Methods and results:
We are presenting current experience from two practices (Gennet s.r.o. Praha, Gynprenatal s.r.o. Havířov), where hysterosalpingo-foam sonography performed in practice is part of the diagnostic algorithm of the tubal factor of sterility. We are summarizing experience in medical literature.

Conlusion:
Hysterosalpingo-foam sonography seems to be simple, efficient, unexpensive, accesible method with minimal impact of the patient at the same time is comparatively as reliable as more invasive methods for the diagnosis of the patency of tubes and it can be a screening test.

Key words:
hysterosalpingo-contrast sonography – hysterosalpingo-foam sonography – hysterosalpingography – hysteroscopy – laparoscopy – office hysteroscopy – tubal patency


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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