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COLLECTION of ARTICLES/PAPERS HYSTEROSALPINGOGRAPHY Collected by @Serv12 CONTENTS HYSTEROSALPINGOGRAPHY Hysterosalpingography (HSG) anatomy, imaging and pathology revisited Hysterosalpingography: Spectrum of Normal Variants and Nonpathologic Findings Hysterosalpingography: A Reemerging Study Hysterosalpingography: Technique and Applications Hysterosalpingography in Infertility Hysterosalpingography and investigation of female infertility Balloon Catheter Hysterosalpingography by Stephen D Sholkoff Balloon Catheter Hysterosalpingography by Isabel C Yoder and Richard C Pfister Hysterosalpingography and Sonohysterography: Lessons in Technique 10 Virtual Hysterosalpingography: A New Multidetector CT Technique for Evaluating the Female Reproductive 11 A Hybrid Radiography/ MRI System for Combining Hysterosalpingography and MRI in Infertility Patients: Initial Experience 12 MR Hysterosalpingography with an Angiographic Time-Resolved 3D Pulse Sequence: Assessment of Tubal Patency 13 Hysterosalpingography and Laparoscopy in Evaluating Fallopian Tubes in the Management of Infertility in Cotonou, Benin Republic Collected by @Serv12 Hysterosalpingography (HSG) anatomy, imaging and pathology revisited Poster No.: C-335 Congress: ECR 2009 Type: Educational Exhibit Topic: Genitourinary Authors: A M Browne, E DeLappe, H Khosa, G Colleran, K Cronin, C Roche; Galway/IE Keywords: uterus, Genitourinary, Hysterosalpingography, fallopian tubes DOI: 10.1594/ecr2009/C-335 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations www.myESR.org Page of 16 Learning objectives 1) To provide a brief overview of the technique of Hysterosalpingography 2) To discuss the indications for and complications of HSG 3) To illustrate the characteristic appearances of HSG pathology and differentiate these from other pathologies where appropriate Background Hysterosalpingography (HSG) is the radiographic evaluation of the uterus and fallopian tubes with the use of radiographic contrast medium The number of HSG examinations has increased in recent years This is likely to be due to advances in in vitro fertilization procedures and the trend towards women delaying pregnancy until later in life(1,2) Indications for HSG The most common indications for performing HSG are • • • • • infertility recurrent spontaneous abortion recurrent preterm delivery evaluation of the uterus and fallopian tubes post tubal surgery preoperative evaluation of the uterus prior to surgery HSG Technique • The examination is scheduled for days 6-10 of the menstrual cycle • The patient is instructed to abstain from sexual intercourse from the day of the menstrual cycle to avoid irradiating a potential pregnancy • The patient is placed supine on the fluoroscopy table in the lithotomy position • The area is prepared with povidone-iodine solution(betadine) and draped with sterile towels Page of 16 • A speculum is placed into the vagina and the cervix is localised • A 5-F HSG catheter is positioned into the cervical os and canal and the balloon is inflated • Water-soluble contrast material is slowly instilled under fluoroscopic guidance with intermittent images obtained to evaluate the uterus and fallopian tubes Pain relief A recent cochrane review (2007) found little evidence for the benefit of pain relief administered duirng or immediately after HSG There is limited evidence of pain reduction with any administered analgesia 30 minutes after the procedure(3) Contraindications to HSG Contraindications to HSG include; • • • • pregnancy current pelvic infection active menses recent uterine surgery Complications Complications include; • Bleeding and infection (
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