Virtual hysterosalpingography in the diagnosis of bicornuate versus septate uterus.

OBJECTIVE

To study the value of virtual hysterosalpingography (VHSG) in the diagnosis of bicornuate vs. septate uterus.

DESIGN

Retrospective study of all cases with bicornuate or septate uterus that had VHSG during the last 3 years at our center.

SETTING

Private fertility center and radiology institute with university affiliations.

PATIENT(S): A total of 47 patients (from more than 1,000 studies) with bicornuate uterus (n = 15) or septate uterus (n = 32) were analyzed to determine the ability of VHSG to distinguish both entities.

INTERVENTION(S): Virtual hysterosalpingography was performed in patients with bicornuate or septate uterus.

MAIN OUTCOME MEASURE(S): Procedure length, discomfort, amount of radiation, and ability to outline the uterine fundus.

RESULT(S): We were able to clearly distinguish bicornuate from septate uterus. In all patients who underwent septoplasty the VHSG diagnosis of septate uterus was confirmed. Virtual hysterosalpingography was well tolerated by all patients; scanning took 5 seconds per patient, and the average radiation was very low (0.9 ± 0.7 mSv).

CONCLUSION(S): Virtual hysterosalpingography seems to be a valuable tool in the diagnosis of common uterine anomalies.