Comparison of cervical vacuum cup cannula with metal cannula for hysterosalpingography.
OBJECTIVE
The aim of this study was to compare the use of a cervical vacuum cap cannula with the traditional metal cannula.


METHODS
A prospective, randomised, single-blinded comparative study.


METHODS
Fifty consecutive infertile women undergoing hysterosalpingography for evaluation of infertility


METHODS
Hysterosalpingography was performed either with the traditional metal cannula (n = 25) or a cervical vacuum cap cannula (n = 25).


METHODS
Length of procedure, fluoroscopic time, amount of contrast medium, pain to the patient while applying the cannula and injecting the contrast medium, level of difficulty to the performer, the need to reapply the cannula, complications, and results of the hysterosalpingography.


RESULTS
Using the cervical vacuum cap cannula, compared with the metal cannula, the duration of the procedure was significantly shorter (5.3 vs 9.3 minutes; P < 0.001), less fluoroscopic time was needed (0.9 vs 1.8 minutes; P < 0.001), a smaller amount of contrast medium was used (4.6 vs 15.7 mL; P < 0.001), the procedure caused less pain to the patient (3.2 vs 6.8, respectively; on a scale of 1-10; P < 0.001), and was easier for the physician to perform (1.4 vs 3.4; on a scale of 1-10; P < 0.001). No significant differences were encountered between the two groups in the need to reapply the cannula, in the rate of complications or in the results of the hysterosalpingography.


CONCLUSIONS
The cervical cap cannula appears to be superior to the traditional metal cannula for performing hysterosalpingography.
Cohen
S B
SB
Department of Obstetrics and Gynaecology, Chaim Sheba Medical Centre, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Wattiez
A
A
Seidman
D S
DS
Lidor
A L
AL
Hendler
Rabinovichi
J
J
Goldenberg
M
M
D000328:Adult; D002404:Catheterization / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000295:instrumentation* / Q000379:methods; D007247:Infertility, Female / Q000000981:diagnostic imaging*; D008670:Metals; D010146:Pain / Q000209:etiology; D011446:Prospective Studies; D016037:Single-Blind Method; D014618:Vacuum
D008670:Metals