Transvaginal sonography [TVS] f or assessement of tubal patency

ABSTRACT

Assessement of tubal patency using the transvaginal ultrasound was performed in 24 infertile patients. We used a new technique which combines and modifies both the techniques of sonosalpingography of Richman et al. [1984] who have studied tubal patency following fluid injection using transabdominal sonography and the foley catheter techniques [FCT] of David et al [1979] for injecting a contrast media into the uterine cavity during HSG via a foley catheter instead of the traditional metallic cannula. We only consider flow of fluid in the cue-dc-sac seen as turbulence as an indicaticn of at least unilateral tubal patency. We compared our results with the findings obtained by HSG and/or Laparoscopy done for the same patients. We found That tubal patency test by TVS has a sensitivity of 100%, specificity 96% and accuracy of 98%. Transvaginal sonography for assessment of tubal patency is safe, more convenient and provide a reliable method for screening pelvic anatomy