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Article

Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment

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IVIRMA Sevilla, Avenida Américo Vespucio 19, ES-41092 Seville, Spain
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Fundación IVI, Instituto de Investigación Sanitaria La Fe, ES-46026 Valencia, Spain
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Department of Molecular Biology and Biochemical Engineering, Universidad Pablo de Olavide, ES-41013 Seville, Spain
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Department of Surgery, Universidad de Sevilla, ES-41004 Seville, Spain
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Author to whom correspondence should be addressed.
Academic Editor: Jacek Szamatowicz
J. Clin. Med. 2021, 10(18), 4169; https://doi.org/10.3390/jcm10184169
Received: 30 July 2021 / Revised: 3 September 2021 / Accepted: 10 September 2021 / Published: 15 September 2021
(This article belongs to the Section Obstetrics & Gynecology)
Introduction: Simplified ultrasound-based infertility protocols that appear to provide enough information to plan effective management have been described. Thus, the objective of this study is to compare the diagnostic accuracy of the hysterosalpingo-foam sonography (HyFoSy) in tubal patency testing with the traditional hysterosalpngography (HSG) for establishing a new diagnostic strategy in infertility. Material and Methods: Prospective observational diagnostic accuracy was performed in a private fertility clinic in which 106 women undergoing a preconceptionally visit were recruited. All of them had low risk for tubal disease, had performed an HSG and were negative for Chlamydia trachomatis antibody. Main outcome measures were tubal patency and pain grade. Results: Evaluation of tubal patency by HyFoSy showed a total concordance with the results of the previous HSG in 72.6% (n = 77), and a total discordance for 4.7% (n = 6), with the inter-test agreement Kappa equal to 0.57, which means moderate concordance. Among the patients, 59.1% did not report pain during the procedure, while the remaining 48.1% indicated pain in different degrees; patients usually report less pain and only 6.6% described more pain with HyFoSy than with HSG (OR 6.57 (CI 95% 3.11–13.89)). Clinical outcomes after performing HyFoSy were not affected. Conclusions: HyFoSy is in concordance with HSG regarding tubal patency results and it is a less painful technique than HSG. HyFoSy is more economical and can be performed in an exam room only equipped with an ultrasound scanner. Based on these results, HyFoSy could be the first-choice diagnostic option to assess tubal patency in patients with low risk of tubal disease. View Full-Text
Keywords: tubal patency; hysterosalpingo-contrast sonography; hysterosalpingo-foam sonography; hysterosalpingography; HyFoSy; HSG tubal patency; hysterosalpingo-contrast sonography; hysterosalpingo-foam sonography; hysterosalpingography; HyFoSy; HSG
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MDPI and ACS Style

Ramos, J.; Caligara, C.; Santamaría-López, E.; González-Ravina, C.; Prados, N.; Carranza, F.; Blasco, V.; Fernández-Sánchez, M. Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment. J. Clin. Med. 2021, 10, 4169. https://doi.org/10.3390/jcm10184169

AMA Style

Ramos J, Caligara C, Santamaría-López E, González-Ravina C, Prados N, Carranza F, Blasco V, Fernández-Sánchez M. Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment. Journal of Clinical Medicine. 2021; 10(18):4169. https://doi.org/10.3390/jcm10184169

Chicago/Turabian Style

Ramos, Julia, Cinzia Caligara, Esther Santamaría-López, Cristina González-Ravina, Nicolás Prados, Francisco Carranza, Víctor Blasco, and Manuel Fernández-Sánchez. 2021. "Diagnostic Accuracy Study Comparing Hysterosalpingo-Foam Sonography and Hysterosalpingography for Fallopian Tube Patency Assessment" Journal of Clinical Medicine 10, no. 18: 4169. https://doi.org/10.3390/jcm10184169

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