What is selective Salpingography?
What is selective Salpingography?
Selective salpingography, a diagnostic procedure in which the fallopian tube is directly opacified through a catheter placed in the tubal ostium, has been used since the late 1980s to differentiate spasm from true obstruction and to clarify discrepant findings from other tests.
How is a Hysterosalpingography done?
In HSG, a thin tube is threaded through the vagina and cervix. A substance known as contrast material is injected into the uterus. A series of X-rays, or fluoroscopy, follows the dye, which appears white on X-ray, as it moves into the uterus and then into the tubes.
When should a Hysterosalpingography examination be performed?
It is best to have HSG done in the first half (days 1–14) of the menstrual cycle. This timing reduces the chance that you may be pregnant. During HSG, a contrast medium is placed in the uterus and fallopian tubes.
What are the contraindications for HSG?
The major contraindications are active pelvic infection, active bleeding, and pregnancy. HSG should be done during the follicular phase of menstrual cycle, when pregnancy is unlikely. Spillage of contrast into the pelvis is normal and indicates patency of fallopian tubes. Only one tube needs to be patent for fertility.
How successful is tubal recanalization?
Technical success rates for recanalization are high, with reports of 71–92%. Technical failures are related to congenital malformations of the uterus, the presence of large leiomyomas, or polyps, and complete occlusions caused by infection, previous surgery, or endometriosis.
Can Hysterosalpingogram clear blockage?
The HSG procedure allows about 5% of infertile couples to be diagnosed with blocked tubes, which indicates that the egg and sperm can never meet. In the past, this has meant surgery to unblock the tubes. These days, couples can be referred to IVF.
What are the signs of infection after HSG?
One week after hysterosalpingography, 44% developed acute PID, defined as having at least 2 of the following signs or symptoms: lower abdominal pain, rebound tenderness, cervical/adnexal tenderness, foul smelling vaginal discharge, adnexal mass(es), and fever of at least 38 degrees Celsius.
How many days do you bleed after HSG test?
Vaginal spotting commonly occurs for 1 to 2 days after HSG. Unless otherwise instructed, you should notify your doctor if you experience heavy bleeding after HSG.
How is selective salpingography used to diagnose spasm?
Selective salpingography, a diagnostic procedure in which the fallopian tube is directly opacified through a catheter placed in the tubal ostium, has been used since the late 1980s to differentiate spasm from true obstruction and to clarify discrepant findings from other tests.
How is selective salpingography used in tubal sterilization?
The combination of selective salpingography with fallopian tube recanalization has improved the overall management of infertility caused by tubal obstruction. The same catheterization technique used in fallopian tube recanalization is currently being explored for use in tubal sterilization.
What are the risks of a hysterosalpingography procedure?
Possible risks include: 1 allergic reaction to contrast dye. 2 endometrial (uterine lining) or fallopian tube infection. 3 injury to the uterus, such as perforation.
When to have a hysterosalpingography after tubal ligation?
If you’ve had tubal surgery, your doctor may order a hysterosalpingography to check that this surgery was successful. If you had a tubal ligation (a procedure that closes the fallopian tubes), your doctor may order this test to ensure that your tubes are closed properly.