Hystero-contrast salpingography

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The Hysterokontrastsalpingografie ( HKSG or English: HyCoSy abbreviated), also known as Hysterokontrastsonografie is to a diagnostic method fallopian tubes to check their permeability through.

meaning

In almost half of all cases, an unfulfilled desire to have children is due to the sterility of the woman. Almost a third of these cases are due to the closure of one or both fallopian tubes, usually as a result of inflammation. Checking the patency of the fallopian tubes is of primary importance in the context of sterility diagnostics.

Action

A catheter is inserted through the vagina into the uterus. At the end of this catheter there is a small balloon that is filled with fluid after insertion to prevent it from slipping back. When filling the balloon, the patient may feel a slight pulling, comparable to her period, which may persist for some time after the treatment. The balloon prevents the contrast agent solution from flowing back , which is then injected into the uterus. This liquid contains tiny air bubbles that reflect ultrasonic waves. Transvaginal sonography can be used to show whether and how the solution is draining through the fallopian tubes.

The contrast agent Echovist from Bayer HealthCare , which was used from 1995 to 2011, is no longer available today because the company has stopped production and worldwide sales for economic reasons. It was a galactose solution that released small air bubbles. An alternative agent approved for these purposes has not been available since then. Gelatine or saline solutions are used as possible alternatives in the context of off-label use .

history

The first investigations were carried out in 1914 by Isidor Clinton Rubin and independently by WH Carey, quoted from AH Ansari.

literature

  • F. Degenhardt, S. Jibril, M. Gohde, B. Eisenhauer, HW Schlösser: The outpatient hystero-contrast sonography (HKSG) as a possibility to check the tube patency. Birth Frauenheilk 55 (1995), 143-149, doi: 10.1055 / s-2007-1022793
  • A. Kleinkauf-Houcken, B. Hüneke, Ch. Lindner, W. Braendle: Combining B-diode ultrasound with pulsed wave Doppler for the assessment of tubal patency. Human Reproduction 12 (1997), 2457–2460, online (PDF document; 1.0 MB)
  • D. Denschlag, Ch. Keck: The importance of hystero-salpingo-contrast sonography (HyCoSy) for clarifying tube function. Birth Frauenheilk 60 (2000), 445-449, doi: 10.1055 / s-2000-8023

Individual evidence

  1. ↑ Message ( Memento of the original from January 25, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. from Bayer HealthCare , January 2011 (PDF; 113 kB) @1@ 2Template: Webachiv / IABot / www.gynemed.de
  2. ↑ IC Rubin: X-ray diagnosis of uterine tumors with the help of intrauterine Collargol injections. Preliminary notice. In: Zentralblatt Gynaekologie Vol. 38, P. 658, 1914
  3. ^ WH Carey: Note on determination of patency of fallo-pian tubes by the use of Collargol and x-ray shadow. In: Am J Obstet Dis Women Child Vol. 69, p. 462, 1914
  4. ^ AH Ansari: Diagnostic procedures for assessment of tubal patency. In: Fertility and sterility. Volume 31, Number 5, May 1979, pp. 469-480, doi: 10.1016 / s0015-0282 (16) 43988-9 , PMID 156131 .