Transvaginal sonographic histerohydrotubation versus hysterosalpingography in infertile women

ABSTRACT

Lipoidal hysterosalpingography [HSG] and vaginal sonographic histerohydrotubation [VSHT] were done in forty infertile women VSHT was done by transcervical injection of saline [20 - 50 ml] through a Foley's catheter [8 - 10] with sonographic detection of saline passage through the uterine cavity [expansion and decompression with turbulence] to be collected in Douglas pouch [tubal patency] VSHT versus HSG findings were bilateral patency [29 [72.5%] vs 26 [65%]], bilateral block [8 [20%] vs 10 [25%]], right block [2] [5%] for each] and left block [1 [2.5%] vs 2 [5%]], Sensitivity and negative predictive values of VSHT were 100% vs specificity was also above 90%, while the positive predictive value was ranged from 75% up to 80%, so VSHT is a useful diagnostic procedure in evaluation of tubal factor in problem of infertility