A simple and relatively painless technique for hysterosalpingography, using a thin catheter and closing the cervix with the vaginal speculum: A pilot study

Postgraduate Medical Journal

Volumn 87, Issue 1029, 2011, Pages 468-471

  Mansour, Ragaa ^a   Nada, Adel ^b   El Khayat, Waleed ^b   Abdel Hak, Ahmed ^b   Inany, Hisham ^a,b  

^a EGYPTIAN IVF ET CENTER   (Egypt)

^b CAIRO UNIVERSITY   (Egypt)

Author keywords

[No Author keywords available]

Indexed keywords

DYE; MEGLUMINE DIATRIZOATE;

ADULT; ARTICLE; CATHETER; CATHETERIZATION; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; FEMALE; FEMALE GENITAL PAIN; FEMALE INFERTILITY; HUMAN; HYSTEROSALPINGOGRAPHY; MAJOR CLINICAL STUDY; PAIN ASSESSMENT; PILOT STUDY; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; SPOTTING; SURGICAL INSTRUMENT; UTERINE CERVIX; UTERINE TUBE; UTERUS CAVITY; VAGINA SPECULUM; VISUAL ANALOG SCALE;

ADOLESCENT; ADULT; CATHETERS; CERVIX UTERI; FEMALE; HUMANS; HYSTEROSALPINGOGRAPHY; INFERTILITY, FEMALE; PAIN; PAIN MEASUREMENT; PILOT PROJECTS; VAGINA; YOUNG ADULT;

EID: 79959666721     PISSN: 00325473     EISSN: 14690756     Source Type: Journal    
DOI: 10.1136/pgmj.2010.106658     Document Type: Article

References (24)

1. Glatstein IZ, Harlow BL, Hornstein MD. Practice patterns among reproductive endocrinologists: the infertility evaluation. Fertil Steril 1997;67:443-51.
2. Papaioannou S, Bourdrez P, Varma R, et al. A Tubal evaluation in the investigation of subfertility: a structured comparison of tests. BJOG 2004;111: 1313-21.
3. Baramki TA. Hysterosalpingography. Fertil Steril 2005;83:1595-606.
4. Perquin DA, Dörr PJ, de Craen AJ, et al. Routine use of hysterosalpingography prior to laparoscopy in the fertility workup: a multicentre randomized controlled trial. Hum Reprod 2006;21:1227-31.
5. Clinical Guideline. Fertility assessment and treatment for people with fertility problems 2004, National Institute for Clinical Excellence. RCOG Press, http://www.rcog.org.uk/resources/Public/pdf/Fertility_full.pdf.
6. van Tetering EA, Bongers MY, Wiegerinck MA, et al. A Prognostic capacity of transvaginal hydrolaparoscopy to predict spontaneous pregnancy. Hum Reprod 2007;22:1091-4.
7. Session DR, Lee GS, Kelly AC. 1997 A comparison of pain tolerance during X-ray hysterosalpingography and sonohysterosalpingography. Albunex Study Group. Gynecol Obstet Invest 2007;43:116-19.
8. Brown SE, Coddington CC, Schnorr J, et al. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study. Fertil Steril 2000;74:1029-34.
9. Lorino CO, Prough SG, Aksel S, et al. Pain relief in hysterosalpingography. A comparison of analgesics. J Reprod Med 1990;35:533-6.
10. Frishman GN, Spencer PK, Weitzen S, et al. The use of intrauterine lidocaine to minimize pain during hysterosalpingography: a randomized trial. Obstet Gynecol 2004;103:1261-6.
11. Elson EM, Ridley NT. Paracetamol as a prophylactic analgesic for hysterosalpingography: a double blind randomized controlled trial. Clin Radiol 2000;55:675-8.
12. Ricci G, Guastalla P, Ammar L, et al. Balloon catheter vs. cervical vacuum cup for hysterosalpingography: a prospective, randomized, single-blinded study. Fertil Steril 2007;87:1458-67.
13. Costello MF, Steigrad S, Collet A. A prospective, randomised, single-blinded, controlled trial comparing two topical anaesthetic modalities for the application of a tenaculum to the cervix. J Obstet Gynaecol 2005;25:781-5.
14. Huskisson EC. Measurement of pain. Lancet 1974;2:1127-31.
15. Sholkoff SD. Balloon hysterosalpingography catheter. AJR Am J Roentgenol 1987;149:995-6.
16. Varpula M. Hysterosalpingography with a balloon catheter versus a cannula: evaluation of patient pain. Radiology 1989;172:745-7.
17. Cohen SB, Wattiez A, Seidman DS, et al. Comparison of cervical vacuum cup cannula with metal cannula for hysterosalpingography. BJOG 2001;108:1031-5.
18. Tur-Kaspa I, Seidman DS, Soriano D, et al. Hysterosalpingography with a balloon catheter versus a metal cannula: a prospective, randomized, blinded comparative study. Hum Reprod 1998;13:75-7.
19. Yoder IC, Pfister RC. Balloon catheter hysterosalpingography. AJR Am J Roentgenol 1979;133:335-6.
20. De Mello JF Sr, Abrao MS, Cerri GG, et al. Evaluation of pain in three hysterosalpingography techniques: metal cannula with and without paracervical blockage and balloon catheter. AJR Am J Roentgenol 2006;187: 86-9.
21. Anserini P, Delfino F, Ferraiolo A, et al. Strategies to minimize discomfort during diagnostic hysterosalpingography with disposable balloon catheters: a randomized placebo-controlled study with oral nonsteroidal premedication. Fertil Steril 2008;90:844-8.
22. Sohail S. Variables affecting immediate pain tolerance in X-ray hysterosalpingography. J Coll Physicians Surg Pak 2004;14:170-2.
23. Mansour RT, Al-Inany HG, Abou-Setta AM, et al. Sperm suspension is a highly ultrasonically visible material: a novel model to study uterine activity. Hum Reprod 2007;22:1942-5.
24. Mansour RT. Minimizing embryo expulsion after ET: a randomized controlled study. Hum Reprod 2005;20:170-4.