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A Study of the Cost, Accuracy, and Benefits of 3-Dimensional Sonography Compared With Hysterosalpingography in Women With Uterine Abnormalities

2012; Wiley; Volume: 31; Issue: 1 Linguagem: Inglês

10.7863/jum.2012.31.1.81

1550-9613

Silvina Bocca, Sergio Oehninger, Laurel Stadtmauer, Jennifer Agard, E. Hakan Duran, Abba Sarhan, S. Horton, Alfred Abuhamad,

Ectopic Pregnancy Diagnosis and Management

Journal of Ultrasound in MedicineVolume 31, Issue 1 p. 81-85 Original Research A Study of the Cost, Accuracy, and Benefits of 3-Dimensional Sonography Compared With Hysterosalpingography in Women With Uterine Abnormalities Silvina M. Bocca MD, PhD, Corresponding Author Silvina M. Bocca MD, PhD [email protected] Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USAAddress correspondence to Silvina M. Bocca, MD, PhD, Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, 601 Colley Ave, Norfolk, VA 23507-1627 USA.Search for more papers by this authorSergio Oehninger MD, PhD, Sergio Oehninger MD, PhD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorLaurel Stadtmauer MD, PhD, Laurel Stadtmauer MD, PhD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorJennifer Agard MD, Jennifer Agard MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorE. Hakan Duran MD, E. Hakan Duran MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorAbba Sarhan MD, Abba Sarhan MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorSharon Horton RDMS, Sharon Horton RDMS Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorAlfred Z. Abuhamad MD, Alfred Z. Abuhamad MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this author Silvina M. Bocca MD, PhD, Corresponding Author Silvina M. Bocca MD, PhD [email protected] Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USAAddress correspondence to Silvina M. Bocca, MD, PhD, Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, 601 Colley Ave, Norfolk, VA 23507-1627 USA.Search for more papers by this authorSergio Oehninger MD, PhD, Sergio Oehninger MD, PhD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorLaurel Stadtmauer MD, PhD, Laurel Stadtmauer MD, PhD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorJennifer Agard MD, Jennifer Agard MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorE. Hakan Duran MD, E. Hakan Duran MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorAbba Sarhan MD, Abba Sarhan MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorSharon Horton RDMS, Sharon Horton RDMS Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this authorAlfred Z. Abuhamad MD, Alfred Z. Abuhamad MD Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia USASearch for more papers by this author First published: 01 January 2012 https://doi.org/10.7863/jum.2012.31.1.81Citations: 35Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Objectives We conducted a prospective blinded study to evaluate the costs, accuracy, risks, and benefits of 3-dimensional (3D) transvaginal sonography compared to hysterosalpingography. Methods A total of 101 women aged 26 to 44 years with evidence of uterine anomalies were enrolled. All participants had routine hysterosalpingography as part of their infertility evaluation as well as 3D transvaginal sonography as part of the study. Surgical findings were used as the standard for final diagnosis. Results A total of 6 normal uteri and 119 uterine anomalies were classified: 30 congenital uterine anomalies (3 arcuate, 1 unicornuate, 4 bicornuate, 2 didelphys, and 20 septate uteri) and 89 acquired anomalies (38 polyps, 30 fibroids, 17 synechiae, and 4 adenomyosis). Congenital anomalies were correctly identified in 30 of 30 cases by 3D sonography but from 10 to 30 of 30 cases by hysterosalpingography. The detection rates for acquired uterine anomalies were lower for both techniques: 44 to 89 of 89 cases for 3D sonography and 22 to 74 of 89 cases for hysterosalpingography. Only 7 of the 20 septi would have been surgically corrected if patients only had hysterosalpingography. On the contrary, 30 of 30 patients with congenital uterine anomalies, 2 of 4 patients with adenomyosis, and all 6 patients with normal uteri were spared from surgery with diagnoses by 3D sonography. No adverse effects were reported after sonography, and only 6 minor ones were reported after hysterosalpingography. Conclusions Three-dimensional transvaginal sonography provides visualization and evaluation of the uterine cavity with similar or better accuracy than standard hysterosalpingography in the office setting, with lower cost and morbidity. Citing Literature Volume31, Issue1January 2012Pages 81-85 RelatedInformation