Hysterosalpingo-Foam Sonography to Replace HSG in Evaluating Tubal Patency in Indonesian Subfertile Patients ()
ABSTRACT
Aim: To
evaluate whether hysterosalpingo-foam sonography (HyFoSy) can replace HSG as
first-line evaluation for tubal patency in subfertile Indonesian patients by
evaluating agreement level and comparing patients’ subjective complaints. Methods: Twenty subfertile female patients at Cipto
Mangunkusumo Central General Referral Hospital (RSCM) from January 2018 to January 2019 were recruited conveniently
to undergo both HSG and subsequent two-dimensional transvaginal HyFoSy after a
minimum interval of 48 hours. Data on tubal patency and side effects inflicted
by each examination within 24 hours were collected. Results: There were 20 subjects enrolled in this
study. In 2 subjects, stenosis of internal uterine ostium was identified on
HyFoSy procedure. Out of 36 remaining tubes undergoing adequate tubal patency
evaluation by HSG and HyFoSy, agreement was seen in 81% cases (kappa value
0.42). The discordant tubal evaluation results in 7 of 36 tubes were associated with partial
tubal obstruction, presence of co-existing gynaecological pathology, and tubal
spasm. Less pain (p < 0.001) was experienced in HyFoSy as compared to HSG,
with mean VAS of 1.8 ± 1.4 cm and 5.4 ± 2.4 cm, respectively. Seven of 20 patients
experienced side effects due to HSG, such as abdominal cramp, spotting,
backache, and bloating, in contrast to only one subject experiencing spotting
due to HyFoSy. There was no hypersensitivity reaction observed in all subjects
during HSG and HyFoSy procedure. Conclusions: HyFoSy has shown an
excellent acceptance in Indonesian patients and could be a good alternative to
replace HSG as a first line tubal patency examination.
Share and Cite:
Situmorang, H. , Tantry, H. and Gunardi, E. (2020) Hysterosalpingo-Foam Sonography to Replace HSG in Evaluating Tubal Patency in Indonesian Subfertile Patients.
Open Journal of Obstetrics and Gynecology,
10, 1402-1413. doi:
10.4236/ojog.2020.10100129.
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