VP07.08: Hysterosonosalpingography as first‐line technique for tubal assessment in infertile patients

Le résumé fourni par la source

To describe our experience in implementation of hysterosonosalpingography (HyCoSy) as first-line technique for tubal assessment. Retrospective analysis of HyCoSy performed in infertile women in the last two years. Patient's data and test reports were reviewed, including a personal telephone interview at least 3 months after the technique, in order to notify pregnancies and late complications. 40 HyCoSy techniques were performed. Mean patient age was 32.7 years (range 24-43). The technique was completed in 100% of patients. No complications were reported, with high tolerability, median VAS score 1.27 (range 0-6). Bilateral tubal patency ratio was 72.5% (29/40), while bilateral obstruction ratio was 10% (4/40), these results are in line with data published by other authors. There were endometrial cavity anomalies in 3 patients (3/37) (2 cases of endometrial polyps and 1 T-shaped cavity), two of those patients underwent hysteroscopy that confirmed the findings (concordance with gold standard 100%). In our study population 22 homologous intrauterine insemination were performed in 13 women, 13.63% (3/22) of them were successful; and 9 intrauterine insemination by donor in 4 women, 33.33% (3/9) of which ended in pregnancy; this success ratio is higher than the expected according to the bibliography. HyCoSy is a safe and well tolerated technique. Tubal patency ratio found is in line with data published previously by other authors and seems to favour gestation (spontaneous and with intrauterine insemination).

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.