Evaluation Of Hysterosalpingoscintigraphy (HSSG) As A Tool For Tubal Patency Test

Sinha, Smita and Ramachandran, Amar and Kumar, Rajesh and Bhakta, Rajesh and Vasudeva, Akhila and Bhat, Rajeshwari and Kumar, Pratap (2012) Evaluation Of Hysterosalpingoscintigraphy (HSSG) As A Tool For Tubal Patency Test. National Journal of Integrated Research in Medicine, 3 (4). pp. 19-23. ISSN 0975-9840

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Abstract

Aim: To evaluate the role of hysterosalpingoscintigraphy (HSSG) as a tubal patency test and compare it with hysterosalpingography (HSG) in infertile patients. Objectives: To determine tubal patency with hysterosalpingoscintigraphy and test its accuracy as compared to hysterosalpingography; compare pain scale between hysterosalpingoscintigraphy and hysterosalpingography; determine time taken for the radiopharmaceutical to ascend up the genital tract during hysterosalpingoscintigraphy. Design: Prospective study Place: The study was conducted in the University Hospital setting. Patients and methods: HSSG was performed on 30 patients with 1 mCi technetium 99m labelled sulphur colloid. Sequential static images were obtained at 0, 15 minutes and 30 minutes. The results were compared to findings of hysterosalpingography. Results: Out of the 30 cases evaluated, 50% had bilateral patent tubes, 33.33% had unilateral patent tube, and 16.67% had bilateral blocked tubes. Time taken for sulphur colloid to reach uterus was 3 minutes 45 seconds; tubes 10 minutes 32 seconds; ovaries 25 minutes 48 seconds. All patients marked 0 on pain scale after HSSG while after HSG, 16 patients marked 3 and 14 patients marked 4 on pain scale. The sensitivity of HSSG was calculated to be 69.64%, specificity 75%, positive predictive value 97.5% and negative predictive value 15%. Conclusion: HSSG is easy to perform, with no premedication requirement and no pain in procedure with high positive predictive value (97.5%), but a poor negative predictive value (15%). This test can be used as compliment to other tubal patency test in the work up of infertility.

Item Type: Article
Uncontrolled Keywords: Hysterosalpingoscintigraphy, Hysterosalpingography, 1 mCi technetium, 99m labelled sulphur
Subjects: Medicine > KMC Manipal > Nuclear Medicine
Medicine > KMC Manipal > Obstetrics & Gynaecology
Depositing User: KMC Manipal
Date Deposited: 02 Nov 2012 05:53
Last Modified: 02 Nov 2012 05:53
URI: http://eprints.manipal.edu/id/eprint/77520

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