Hysteroscopy combined with hysterosalpingo contrast sonography (HyCoSy): A new modality for comprehensive evaluation of the female pelvic organs

• Published in: Gynecological endocrinology 2006-04, Vol.22 (4), p.225-229
• Main Authors: Horowitz, Eran, Orvieto, Raoul, Rabinerson, David, Yoeli, Rakefet, Bar-Hava, Itai
• Format: Article
• Language: English
• Subjects: Adult; Evaluation Studies as Topic; Female; Humans; Hysterosalpingo contrast sonography (HyCoSy); hysteroscopy; Hysteroscopy - methods; infertility; Infertility, Female - diagnostic imaging; Sensitivity and Specificity; Ultrasonography, Doppler, Color - methods; ultrasound
• ISSN: 0951-3590; 1473-0766
• DOI: 10.1080/09513590600647359

Aim. Hysterolaparoscopy is the gold-standard procedure for mechanical evaluation of the female pelvic organs. However, it is invasive and potentially life-threatening. The purpose of the present study was to assess the value of an alternative, minimally invasive technique. Method. All consenting women who reached the stage of mechanical evaluation in their infertility work-up were invited to participate in the study. All underwent diagnostic hysteroscopy followed by hysterosalpingo contrast sonography (HyCoSy) performed in a single session on an outpatient basis. Patient clinical data were collected prospectively. Results. Twenty women participated in the study, 6 with primary infertility and 14 with secondary infertility. All procedures yielded satisfactory evaluation of the uterine cavity and uterine and ovarian structures, fallopian tube patency, and relationship between the fallopian tube fimbrial edges and the ovaries. All patients were discharged within 2 h; there were no complications during or after the procedure. Conclusion. The combination of hysteroscopy and hysterosalpingo contrast sonography (HyCoSy) can provide a comprehensive, functional and relatively non-invasive evaluation of the female pelvic organs.