Human Reproduction, Vol 13, 75-77, Copyright © 1998 by Oxford University Press
I Tur-Kaspa, DS Seidman, D Soriano, I Greenberg, J Dor and D Bider
A prospective, randomized, blinded study was conducted to compare the use
of a balloon catheter for performing hysterosalpingography (HSG) with the
use of a traditional metal cannula. Sixty-one consecutive women who
underwent HSG for evaluation of infertility were prospectively randomized
to undergo the procedure with either a metal cannula (n = 31) or the
balloon catheter (n = 30). The HSG procedure was identical in both groups.
HSG using the balloon catheter, compared to the metal cannula, required
significantly less fluoroscopic time (57.4 +/- 17.6 versus 75.6 +/- 40.5
s), smaller amounts of contrast medium (7.8 +/- 3.9 versus 20.1 +/- 15.8
ml), produced less pain (3.8 +/- 2.0 versus 5.6 +/- 2; on a scale of 1-10),
and was easier for the physician to perform (8.8 +/- 1.1 versus 6.4 +/-
1.9; on a scale of 1- 10) (P < 0.01). Eight patients (13%) were
diagnosed as having proximal tubal occlusion. It was possible to offer an
immediate transcervical tubal catheterization for further diagnosis and
treatment of the occlusion only to the five patients with this condition
from the balloon catheter group. We conclude that the balloon catheter is
superior to the traditional metal cannula for performing HSG. Furthermore,
if proximal tubal occlusion is diagnosed, an immediate selective
salpingography and transcervical tubal catheterization can be performed
without the need to replace the cannula or to reschedule the patient.
ARTICLES
Hysterosalpingography with a balloon catheter versus a metal cannula: a prospective, randomized, blinded comparative study
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Aviv University, Tel Hashomer, Israel.
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