title: Sonohysterosalpingography: Comparison of foam and saline solution.
abstract: OBJECTIVE
  To compare sonohysterosalpingography (sono-HSG) with foam instillation (HyFoSy) versus saline solution (HyCoSy) in the evaluation of tubal patency.
  
  
  METHODS
  We prospectively enrolled 37 infertile women, scheduled for laparoscopy. The women were randomized into two groups: HyFoSy (group I) and HyCoSy (group II). The patients of both groups underwent laparoscopy with dye test. We assessed the diagnostic performance (sensitivity, specificity, and overall accuracy) of HyFoSy and HyCoSy, compared with laparoscopy and dye test, in the assessment of tubal patency.
  
  
  RESULTS
  Sono-HSG findings in tubal patency assessment obtained in the HyFoSy group were concordant with laparoscopic results in 94.4% of cases, with a sensitivity of 87.5% and a specificity of 100%, whereas in the HyCoSy group, concordance occurred in only 57.8% of examinations, with a sensitivity of 50% and a specificity of 66.6%.
  
  
  CONCLUSIONS
  HyFoSy allows a more accurate diagnosis of tubal patency compared with HyCoSy. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:67-71, 2017.
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Piccioni
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Riganelli
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Filippi
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Eliana
authors.initials: E
authors.lastname: Fuggetta
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Colagiovanni
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Ludovica
authors.initials: L
authors.lastname: Imperiale
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Jlenia
authors.initials: J
authors.lastname: Caccetta
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Pierluigi Benedetti
authors.initials: PB
authors.lastname: Panici
authors.affiliation: Department of Gynaecology, Obstetrics, and Urology, "Sapienza", University of Rome, Rome, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Porpora
mesh_terms: D000328:Adult; D003287:Contrast Media; D005184:Fallopian Tube Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D005186:Fallopian Tube Patency Tests; D005187:Fallopian Tubes / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000209:etiology*; D010535:Laparoscopy; D012680:Sensitivity and Specificity; D012965:Sodium Chloride; D014463:Ultrasonography; D014599:Uterus / Q000000981:diagnostic imaging*; D014622:Vaginal Creams, Foams, and Jellies
chemical_list: D003287:Contrast Media; D014622:Vaginal Creams, Foams, and Jellies; D012965:Sodium Chloride
keywords: HyCoSy; HyFoSy; foam; gynecology; infertility; saline; sonohysterosalpingography; tubal patency