Herrera FI, Viramontes TG, Guerrero AG

Language: Spanish
References: 9
Page: 157-161
PDF size: 202.27 Kb.

ABSTRACT

Introduction: Hysterosalpingography is defined as the sequent introduction in the uterus, fallopian tubes and abdominal cavity, of an opaque substance (non ionic iodized compound) with a probe, while external cervical orifice is obstructed and under supervised pressure, it is prescribed for uterine cavity and surroundings evaluation, being relevant the permeability demonstration of the uterine tubes in patients diagnosed with infertility and in some cases anexial pathology.
Objective: Report incidence of ultra and linkages pathology reported by hysterosalpingography, stressing advantages and disadvantages of this method and making a description of observed findings.
Material and methods: Longitudinal, retrospective study was made to 288 female patients, ages between 19 and 40 years old, with diagnosis of infertility and uterine anomalies and/or anexial, in the period comprised between January 2006 to January 2009. Test was performed to all patients between days 7 and 12 of menstrual cycle, in digital X-Rays room with fluoroscopy and G.E. Prestige II control. Taking AP projections, oblique, right side and emptying.
Results: Endometrial cavities with normal aspect in 185 patients were found. Endometrial cavities with intraluminal filling defects in 103 patients, with respect to Fallopian tubes were found normal or permeable 142 patients and with tubaric bilateral obstruction 86 patients, unilateral obstruction 52 patients. Anatomic variants represented only 8.33%, being bi-horn unicoles, arcuate and septated uterus the most common, with anexial masses observed only in 2.7 % of the cases.
Conclusions: Hysterosalpingography is considered still as one of imaging methods, allowing to identify tubarian pathologies, as well as of the endometrial, anexial cavity and alterations of uterine morphology, with a great impact in the diagnosis of tubarian obstruction, being this main indication in patients with of primary or secondary infertility diagnosis. Represent a simple, efficient and low-cost method of diagnostic imaging, with the only disadvantage of the ionizing radiation use.It is important that every Radiologist or specialist in fertility be familiar with imaging interpretation and findings described in each of the pathologies that can be observed by this imaging method.

REFERENCES

1. Forti G, Krausz C. Evaluation and treatment of the infertile couple. J Clin Endocrinol Metab1998; 83: 4177-88.

2. Manual CTO de medicina y cirugía, Mc Graw-Hill interamericana. Ginecología 2008; 8: 588-9.

3. Thurmond AS, Machan LS, Maubon AJ y cols. A review of selective salpingography and fallopian tube catheterization. RadioGraphics 2000; 20: 1759-68.

4. Eisenberg R. Obstetrical and gynecologic radiology. In: Eisenberg R (ed.). Radiology, an illustrated history. St Louis, Mo: Mosby; 1992, p. 347-63.

5. Simpson WL, Betia LG, Mester F, hysterosalpingography: a reemerging study, RadioGraphics 2006; 26: 419-31, Published online 10.1148/rg.262055109.

6. Sulak, et al. 1987; Thurmond, 1991; Honore et al. 1999.

7. Papaioannou S. A hypothesis for the pathogenesis and natural history of proxi- mal tubal blockage. Human Reproduction 2004; 19: 481-5.

8. Dessole S, Meloni GB, Capobianco M, et al. A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction. Fertility and Sterility 2000; 73: 1037-9.

9. Thurmond SA. Interventional radiology in the treatment of infertility: Fallopian Tube Catheterization.