Evaluation of tubal patency by transvaginal sonosalpingography.

OBJECTIVE

To evaluate tubal patency by transvaginal sonosalpingography.

DESIGN

Comparative study of transvaginal sonosalpingography with chromolaparoscopy in subjects with unknown tubal function.

SETTING

Outpatient infertility clinic at Zeynep Kamil Maternity Hospital in Istanbul, Turkey.

PATIENTS: Forty-two cases of unknown tubal function with infertility complaints were included.

INTERVENTIONS: Isotonic saline was injected into the uterine cavity through a catheter.

MAIN OUTCOME MEASURES: Transvaginal sonosalpingography is a safe, easy, and cost-effective procedure for screening tubal status.

RESULTS

The results obtained from transvaginal sonosalpingography and laparoscopy were completely consistent for 29 cases (76.32%) and partially consistent for 8 cases (21.05%). Transvaginal sonosalpingography accurately showed patency in 26 patients and bilateral nonpatency in 3 patients.

CONCLUSIONS

Transvaginal sonosalpingography, with its accuracy and safety, is a promising screening and diagnostic technique in the evaluation of tubal patency on ambulatory basis.