Evaluation of the uterine cavity and fallopian tubes in one step in patients undergoing assisted reproductive technology treatment: Hysterosalpingofoam sonography (hyfosy) in combination with hysteroscopy

Yıl 2021, Cilt: 3 Sayı: 2, 27 - 32, 25.06.2021

Hulusi Zeyneloglu , Yusuf Aytaç Tohma , Göğşen Önalan , Emre Günakan

https://doi.org/10.46969/ezh.940157

Öz

Aim: To report on the utilization of hysterosalpingo-foam sonography (HyFoSy) with hysteroscopic evaluation for selected
patients undergoing Assisted Reproductive Technology Treatment (ART), whereby we aimed to assess the effectiveness
of HyFoSy before hysteroscopy.
Material and Method: This retrospective study included 36 infertile women referred to Baskent University’s Ankara
Hospital Infertility Clinic in 2017-2019. HyFoSy was applied with hysteroscopy in one step for patients who had not
previously been evaluated for tubal patency or who had to be re-evaluated.
Results: Two patients were diagnosed with tubal obstruction by HyFoSy and were treated with hysteroscopic tubal
catheterization, and tubal patency was obtained after this procedure. HyFoSy was applied in seven patients (19.49%)
because their previous hysterosalpingography (HSG) reports were doubtful. Although previous HSG had shown tubal
obstruction in three patients, the standard passage of the foam from the fallopian tubes to the abdominal cavity was
observed when HyFoSy was applied.
Conclusion: The one-step method that we apply in our clinic seems appropriate for both patients and clinicians because
it speeds up the evaluation steps of the uterine cavity and fallopian tubes before the next ART attempt.

Anahtar Kelimeler

Hysteroscopy, infertility, hysterosalpingo-foam sonography, hystero-contrastsonography

Proje Numarası

KA19/360

Yardımcı üreme teknolojileri tedavisi uygulanacak hastalarda uterin kavitenin ve fallop tüplerinin tek adımda değerlendirilmesi: Histeroskopi ile birlikte histerosalpingo-köpük sonografi (hyfosy)

Öz

Amaç: Biz bu çalışmada, yardımcı üreme teknolojileri tedavisi uygulanacak seçilmiş hastalarda tedavi öncesinde aynı
seansta uygulanan histeroskopi ve histerosalpingo-köpük sonografinin etkinliğini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Bu retrospektif çalışma, 2017-2019 yılları arasında Başkent Üniversitesi Ankara Hastanesi İnfertilite
Kliniği'ne başvuran 36 infertil kadını içermektedir. Merkezimizde, daha önce tubal açıklığı açısından değerlendirilmemiş
veya yeniden değerlendirilmesi gereken hastalar için bir adımda histeroskopi ile HyFoSy uygulanmaktadır ve çalışmaya bu
hastalar dahil edilmiştir.
Bulgular: İki hastaya HyFoSy ile tubal obstrüksiyon tanısı konuldu ve histeroskopik tubal kateterizasyon ile tedavi edildi
ve bu işlemden sonra tubal açıklık elde edildi. Önceki histerosalpingografi (HSG) raporları şüpheli olduğu için 7 hastaya
(%19,49) HyFoSy uygulandı. Üç hastada, önceki HSG incelemesinde tubal obstrüksiyon görülmesine rağmen, HyFoSy
uygulandığında köpüğün fallop tüplerinden karın boşluğuna normal geçişi gözlendi.
Sonuç: Kliniğimizde uyguladığımız bu tek adımlı yöntem hem hastalar hem de klinisyenler için uygun görünmektedir,
çünkü uygulanan yöntem bir sonraki ART girişiminden önce uterin kavitenin ve fallop tüplerinin değerlendirme adımlarını
hızlandırmaktadır.

Anahtar Kelimeler

Histeroskopi, İnfertilite, Histerosalpingo-köpük Sonografi, Histerokontrast sonografi

Destekleyen Kurum

Başkent Üniversitesi

Proje Numarası

KA19/360

Kaynakça

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