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MINERVA GINECOLOGICA

Rivista di Ostetricia e Ginecologia


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Minerva Ginecologica 2018 April;70(2):123-8

DOI: 10.23736/S0026-4784.17.04161-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Ultrasonography reappraisal of tubal patency in assisted reproduction technology patients: comparison between 2D and 3D-sonohysterosalpingography. A pilot study

Lucia RIGANELLI, Assunta CASORELLI, Jlenia CACCETTA, Lucia MERLINO , Marianna MARIANI, Delia SAVONE, Angela CARRONE, Silvia FRANCESCHETTI, Cesare ARAGONA, Daniela PIETRANGELI, Alessia ARAGONA, Oriana CAPRI, Maria G. PICCIONI

Department of Gynecology, Obstetrics and Urology, Sapienza University, Rome, Italy


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BACKGROUND: The aim of this study was to compare 2D and 3D-sonohysterosalpingography (2D-3D-HyFoSy) with previous diagnostic laparoscopy in the diagnosis of tubal patency, and compare each procedure in terms of procedure’s time, perceived pain and complication rate.
METHODS: We prospectively recruited infertile women, previously submitted to laparoscopy and randomly allocated into 2D-HyFoSy (group I) and 3D-HyFoSy (group II). We analyzed the results in term of sensitivity, specificity, positive predictive value and negative predictive value in tubal patency evaluation of both procedures in comparison with laparoscopy.
RESULTS: We enrolled 50 women, 25 in group I and 25 in group II. 2D-HyFoSy findings obtained in group I, were concordant with laparoscopy in 81% of cases, with a sensitivity of 80% and a specificity of 92%. In group II, a correspondence was present in 88% of examinations, with a sensitivity and specificity of 98% and 91.4% respectively. 3D-HyFoSy was found to be faster and less painful than 2D (P<0.001).
CONCLUSIONS: In the diagnosis of tubal occlusion, in the high-risk population, it seems advisable to us using the 3D-HyFoSy as the first-level examination, while, in low-risk patients, if the tubes appear obstructed in 2D-HyFoSy, the 3D-HyFoSy should be indicated before submitting patients to operative laparoscopy.


KEY WORDS: Gynecology - Fallopian tube patency tests - Infertility - Reproductive techniques, assisted

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Publication History

Issue published online: February 2, 2018
Article first published online: October 27, 2017
Manuscript accepted: October 25, 2017
Manuscript received: October 23, 2017

Per citare questo articolo

Riganelli L, Casorelli A, Caccetta J, Merlino L, Mariani M, Savone D, et al. Ultrasonography reappraisal of tubal patency in assisted reproduction technology patients: comparison between 2D and 3D-sonohysterosalpingography. A pilot study. Minerva Ginecol 2018;70:123-8. DOI: 10.23736/S0026-4784.17.04161-2

Corresponding author e-mail

lucia.merlino@uniroma1.it