PMID- 33793700
OWN - NLM
STAT- MEDLINE
DCOM- 20211105
LR  - 20211105
IS  - 2066-8643 (Electronic)
IS  - 1844-4172 (Linking)
VI  - 23
IP  - 3
DP  - 2021 Aug 11
TI  - Comparison of Hystero-salpingography and Hysterosalpingo-Contrast Sonography for 
      tubal patency testing: technical success, pain perception, side effects and 
      complications.
PG  - 283-288
LID - 10.11152/mu-2692 [doi]
AB  - AIMS: The aim of this study was to compare technical success and tolerability 
      between hysterosalpingography (HSG) and hysterosalpingo-contrast ultrasonography 
      (HyCoUs) as a first-line evaluation method in a single fertility center. MATERIAL 
      AND METHODS: The study included 56 infertile women: 27 patients underwent HSG and 
      29 patients underwent HyCoUs. Pain perception was measured by means of an 
      11-point visual analog scale (VAS) and the Stacy score. Side-effects, technical 
      aspects, complications and variable correlations were documented. RESULTS: The 
      median VAS scale was 5 (4;6) for HSG and 1 (1;2) for HyCoUs. The median Stacy 
      score was 2 (1;3) for HSG and 1 (0;1) for HyCoUs. The difference in pain 
      perception was statistically significant for both pain scores (p<0.001). All 
      patients undergoing HyCoUs reported a visual analog (VAS) pain score of <5 and 
      59.3% of patients undergoing an HSG reported a score of >5. Increased pain scores 
      showed a statistically significant association with duration and total volume of 
      substance infused. The type of procedure and volume infused were independently 
      associated with the VAS scale. In the HSG group, 14.8% (4) of patients reported a 
      vagal effect (p<0.001), one patient requiring hospitalization. No vagal effects 
      were reported following HyCoUs and the method was technically successful in 100% 
      (29) of cases. HSG was successful in 88.9% (24) of cases. CONCLUSIONS: HyCoUs is 
      a well-tolerated procedure with reduced frequency of adverse effects. Low pain 
      perception is strongly correlated with a low volume infused. It is non-invasive 
      and efficient in rendering good quality images.
FAU - Maxim, Anita Roxana
AU  - Maxim AR
AD  - University of Medicine and Pharmacy "Iuliu Hatieganu" Cluj-Napoca, Polisano 
      Clinical Hospital Sibiu. anitamercea@yahoo.com.
FAU - Gligor, Ovidiu Horia
AU  - Gligor OH
AD  - Polisano Clinical Hospital Sibiu. ovidiu.gligor@polisano.ro.
FAU - Badea, Radu Ion
AU  - Badea RI
AD  - University of Medicine and Pharmacy "Iuliu Hatieganu" Cluj-Napoca. 
      rbadea2012@yahoo.com.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20210314
PL  - Romania
TA  - Med Ultrason
JT  - Medical ultrasonography
JID - 101522985
SB  - IM
MH  - Fallopian Tube Patency Tests
MH  - Female
MH  - Humans
MH  - *Hysterosalpingography/adverse effects
MH  - *Infertility, Female/diagnostic imaging
MH  - Pain Perception
MH  - Ultrasonography
EDAT- 2021/04/02 06:00
MHDA- 2021/11/06 06:00
CRDT- 2021/04/01 17:32
PHST- 2021/04/02 06:00 [pubmed]
PHST- 2021/11/06 06:00 [medline]
PHST- 2021/04/01 17:32 [entrez]
AID - 10.11152/mu-2692 [doi]
PST - ppublish
SO  - Med Ultrason. 2021 Aug 11;23(3):283-288. doi: 10.11152/mu-2692. Epub 2021 Mar 14.