Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency

Authors: Kleinkauf-Houcken, A.¹; Hüneke, B.²; Lindner, Ch.²; Braendle, W.¹

Source: Human Reproduction, Volume 12, Number 11, November 1997 , pp. 2457-2460(4)

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Abstract:

This study was conducted to determine whether the additional use of pulsed wave Doppler improves the diaggnostic capacity in assessing tubal patency by hysterosalpingo contrast sonography (HyCoSy). A total of 210 women with a history of infertility were included in this study. HyCoSy was performed after intrauterine injection of Echovist® 200. For the assessment of tubal patency Bmode scanning and pulsed wave Doppler ultrasound were performed in the proximal and distal tubal segments. With the combined sonographic procedure 297 tubes (74%) were rated patent, 35 (8%) incompletely obstructed and 70 (18%) completely obstructed. A total of 252 tubes were additionally examined by laparoscopy for reference purposes. Concordant results for both methods were found in 92% of tubes, nine had been rated false negative and 10 tubes appeared to have been rated false positive. The combined sonographic specificity was found to be 85% with a sensitivity of 95%. Peritubal adhesions detected by laparoscopy were found to be the reason for false positive sonographic results in 60% of cases. In conclusion, the combined B-mode and pulsed wave Doppler examination appears to be a non-invasive and low-cost test for the assessment of tubal patency, which should be performed during diagnostic work-up for infertility.

Keywords: hysterosalpingo contrast sonography; sterility; tubal patency

Document Type: Research article

DOI: http://dx.doi.org/10.1093/humrep/12.11.2457

Affiliations: 1: <aff><label>1</label><institution>Department of Gynecologic Endocrinology and Reproductive Medicine University of Hamburg</institution> <addr-line>Germany</addr-line>, 2: ,

Publication date: 1997-11-01

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Human Reproduction features full-length, peer-reviewed papers reporting original research, clinical case histories, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology, endocrinology, andrology, gonad function, gametogenesis, fertilization, embryo development, implantation, pregnancy, genetics, genetic diagnosis, oncology, infectious disease, surgery, contraception, infertility treatment, psychology, ethics and social issues. The highest scientific and editorial standard is maintained throughout the journal along with a rapid rate of publication.

Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency

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