OBJECTIVE: To assess whether a second hysterosalpingography (HSG) can permit tubal patency, reducing the use of selective salpingography in patients with proximal tubal obstruction. DESIGN: Prospective study. Setting: University hospital. PATIENT(s): The study population consisted of 360 infertile women. INTERVENTION(s): In patients with unilateral or bilateral proximal tubal obstruction, a second HSG was performed after about 1 month. In those cases with persistent obstruction, an immediate selective salpingography and tubal catheterization were performed. MAIN OUTCOME MEASURE(s): Tubal opacification. RESULT(s): Forty patients underwent a second HSG procedure for proximal tubal occlusion. Among these, 24 achieved bilateral tubal patency. Thus, repetition of a conventional HSG after 1 month avoided unnecessary salpingography in 60% of patients. CONCLUSION(s): In infertile women with proximal tubal obstruction, we believe it is best to perform a second HSG. HSG is easy to carry out and subjects patients to a lower dosage of radiation and fewer risks than selective salpingography. The latter technique should be reserved for unsuccessful cases.

A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction / Dessole, Salvatore; Meloni, Giovanni Battista; Capobianco, Giampiero; Manzoni, Ma; Ambrosini, G; Canalis, G. C.. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - 73:5(2000), pp. 1037-1039.

A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction.

DESSOLE, Salvatore;MELONI, Giovanni Battista;CAPOBIANCO, Giampiero;
2000-01-01

Abstract

OBJECTIVE: To assess whether a second hysterosalpingography (HSG) can permit tubal patency, reducing the use of selective salpingography in patients with proximal tubal obstruction. DESIGN: Prospective study. Setting: University hospital. PATIENT(s): The study population consisted of 360 infertile women. INTERVENTION(s): In patients with unilateral or bilateral proximal tubal obstruction, a second HSG was performed after about 1 month. In those cases with persistent obstruction, an immediate selective salpingography and tubal catheterization were performed. MAIN OUTCOME MEASURE(s): Tubal opacification. RESULT(s): Forty patients underwent a second HSG procedure for proximal tubal occlusion. Among these, 24 achieved bilateral tubal patency. Thus, repetition of a conventional HSG after 1 month avoided unnecessary salpingography in 60% of patients. CONCLUSION(s): In infertile women with proximal tubal obstruction, we believe it is best to perform a second HSG. HSG is easy to carry out and subjects patients to a lower dosage of radiation and fewer risks than selective salpingography. The latter technique should be reserved for unsuccessful cases.
2000
A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction / Dessole, Salvatore; Meloni, Giovanni Battista; Capobianco, Giampiero; Manzoni, Ma; Ambrosini, G; Canalis, G. C.. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - 73:5(2000), pp. 1037-1039.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/60394
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