Purpose: To evaluate efficacy, compliance, and cost effectiveness of sonohysterosalpingography (HyCoSy) when compared to hysteroscopy for uterine cavity evaluation and to RX-hysterosalpingography (RX-HSG) for tubal patency determination. 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. Results: HyCoSy presents elevated values of sensitivity, specificity, PPV, and NPV with no significant differences when compared to hysteroscopy. HyCoSy also has the same accuracy as RX-HSG. Pain perception and cost were higher with RX-HSG and hysteroscopy than with HyCoSy. Conclusions: HyCoSy can be considered as a first-line procedure for evaluation of the uterine cavity and tubal patency in infertile patients.

Sonohysterosalpingography: A suitable choice in infertility workup

GRAZIANO, Angela;LO MONTE, Giuseppe;SOAVE, Ilaria;MARCI, Roberto
2012

Abstract

Purpose: To evaluate efficacy, compliance, and cost effectiveness of sonohysterosalpingography (HyCoSy) when compared to hysteroscopy for uterine cavity evaluation and to RX-hysterosalpingography (RX-HSG) for tubal patency determination. 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. Results: HyCoSy presents elevated values of sensitivity, specificity, PPV, and NPV with no significant differences when compared to hysteroscopy. HyCoSy also has the same accuracy as RX-HSG. Pain perception and cost were higher with RX-HSG and hysteroscopy than with HyCoSy. Conclusions: HyCoSy can be considered as a first-line procedure for evaluation of the uterine cavity and tubal patency in infertile patients.
2012
Graziano, Angela; LO MONTE, Giuseppe; Soave, Ilaria; Caserta, D.; Moscarini, M.; Marci, Roberto
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/1728833
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