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[Contrast hysterosalpingography (or HyCoSy)]

U Deichert1

  • 1Département d'obstétrique et de gynécologie, Université de Marburg, Allemagne.

Contraception, Fertilite, Sexualite (1992)
|March 1, 1993
PubMed
Summary

SHU-454, a new echogenic contrast medium, provides a reliable method for assessing fallopian tube patency using transvaginal ultrasound. This quick, low-risk procedure offers accurate results comparable to conventional methods.

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Area of Science:

  • Reproductive Medicine
  • Diagnostic Imaging
  • Gynecology

Background:

  • Tubal diagnostics are crucial for infertility assessment.
  • Conventional methods like hysterosalpingography and chromolaparoscopy have limitations.
  • A need exists for a safe, accurate, and easily performed tubal patency test.

Purpose of the Study:

  • To evaluate the efficacy and safety of SHU-454 for transvaginal ultrasound hysterosalpingo-contrast-sonography (HyCoSy) in assessing fallopian tube patency.
  • To compare HyCoSy with traditional diagnostic methods.

Main Methods:

  • SHU-454, an echogenic contrast medium, was administered transcervically into the uterus and fallopian tubes.
  • Transvaginal B-mode echography was used for direct imaging of contrast passage.
  • The procedure was compared to hysterosalpingography and chromolaparoscopy in 115 women.

Main Results:

  • SHU-454 demonstrated reproducible echogenic contrast and amplified Doppler signals.
  • The HyCoSy procedure was well-tolerated, quick (5-10 minutes), and low-risk.
  • HyCoSy results showed complete agreement with conventional methods for tubal patency detection in 115 women.

Conclusions:

  • Transvaginal HyCoSy using SHU-454 is a reliable, safe, and efficient outpatient procedure for assessing tubal patency.
  • It offers advantages over conventional methods, including no radiation exposure and a lower risk of allergic reactions.
  • This technique is suitable for early sterility diagnostics and pre-operative assessment.

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