Sonohysterosalpingographic screening for infertile patients.
OBJECTIVE
To compare the diagnostic accuracy of hysterosalpingography and sonohysterosalpingography in detecting tubal and uterine abnormalities.


METHODS
In a prospective study for the evaluation of uterine and tubal pathologies, 186 patients with primary and secondary infertility rates (51.6% and 44%, respectively), as well as recurrent abortion rates (3.8%), underwent sonohysterosalpingography. The tubal pathologies, as well as intracavitary and/or structural uterine abnormalities, detected with this procedure were compared with preoperative hysterosalpingography and operative procedures.


RESULTS
With surgical findings as the gold standard, sonohysterosalpingography had a sensitivity of 78.2%, a specificity of 93.1%, a positive predictive value of 82.7%, and a negative predictive value of 91%. For total tubal and uterine pathologies, the findings for the same parameters using HSG were 76.3%, 81.8%, 90.9%, and 59.2%, respectively. Sonohysterosalpingography was more accurate than hysterosalpingography for detecting intrauterine adhesions and various forms of uterine anomalies.


CONCLUSIONS
Sonohysterosalpingography is a safe, easy, accurate, and promising procedure for the detection of female upper genital tract pathologies, especially because it can differentiate specific uterine anomalies.
Alborzi
S
S
Department of Obstetrics and Gynecology, Division of Infertility and Endoscopy, Shiraz University of Medical Sciences, Shiraz, Iran. alborzis@sums.ac.ir
Dehbashi
S
S
Khodaee
R
R
D000026:Abortion, Habitual / Q000209:etiology*; D000328:Adult; D019160:Endosonography / Q000379:methods*; D005184:Fallopian Tube Diseases / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods*; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology*; D007267:Injections; D010535:Laparoscopy; D008403:Mass Screening / Q000379:methods*; D011446:Prospective Studies; D012965:Sodium Chloride; D014591:Uterine Diseases / Q000150:complications / Q000175:diagnosis*
D012965:Sodium Chloride