Sonohysterosalpingography: a suitable choice in infertility workup.

Authors :: Graziano A
Lo Monte G
Soave I
Caserta D
Moscarini M
Marci R
Source :: Journal of medical ultrasonics (2001) [J Med Ultrason (2001)] 2013 Jul; Vol. 40 (3), pp. 225-9. Date of Electronic Publication: 2012 Nov 23.
Publication Year :: 2013
Abstract: Purpose: To evaluate the efficacy, compliance, and cost effectiveness of sonohysterosalpingography (HyCoSy) compared with hysteroscopy for uterine cavity evaluation and compared with RX-hysterosalpingography (RX-HSG) for tubal patency determination.<br />Methods: Three hundred and eight infertile patients underwent HyCoSy, hysteroscopy, and RX-HSG. We compared sensitivity, specificity, positive and negative predictive values (PPV and NPV), discomfort level, and cost of all three procedures.<br />Results: Sensitivity, specificity, PPV, and NPV were higher for HyCoSy than for hysteroscopy but the differences were not significant. HyCoSy also has the same accuracy as RX-HSG. Pain perception and cost were higher for RX-HSG and hysteroscopy than for HyCoSy.<br />Conclusions: HyCoSy can be regarded as a procedure for initial evaluation of the uterine cavity and of tubal patency in infertile patients.