Evaluation of the radiologic findings on hysterosalpingography by selective hydrotubation with flexible hysterofiberscope.
OBJECTIVE
The objective of this study was to assess further the significance and accuracy of hysterosalpingography (HSG) by comparing the radiologic findings on HSG to selective hydrotubation (SHT) using a hysterofiberscope in 106 women with tubal occlusion.


RESULTS
Patency was successfully observed by SHT in 72 of 134 tubes and 62 of 106 patients. Proximal obstruction was divided into three groups according to the shape of cornual obstruction (sharp, dull, defect) on HSG. The success rate for SHT in unilateral obstruction (64%) were significantly higher than those in bilateral obstruction (39%). In the three groups of proximal obstruction, the success rates for SHT were 24, 75, and 30% in sharp, dull, and defect, respectively. The group of dull had significantly higher success rate than the groups of sharp and defect. Thirteen of 62 patients who successfully recanalized became pregnant at 9-month follow-up interval.


CONCLUSIONS
Careful evaluation of the cornual obstruction in radiologic findings on HSG may be important for the decision on further treatment. Furthermore, SHT using a hysterofiberscope is an effective method for evaluating tubal obstruction and for managing it in a selected group of patients with tubal obstruction.
Miyazaki
T
T
Department of Obstetrics and Gynecology, School of Medicine, Keio University, Tokyo, Japan.
Kobayashi
T
T
Kuji
N
N
Gabionza
D T
DT
Sueoka
K
K
Natori
M
M
Nozawa
S
S
D000328:Adult; D002404:Catheterization / Q000295:instrumentation / Q000379:methods / Q000592:standards; D005069:Evaluation Studies as Topic; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D005187:Fallopian Tubes / Q000473:pathology / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007047:Hysterosalpingography / Q000295:instrumentation / Q000379:methods / Q000592:standards*; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D011247:Pregnancy; D018873:Pregnancy Rate