Document Detail

Tolerability, side effects, and complications of hysterosalpingocontrast sonography (HyCoSy).
MedLine Citation:
PMID:  18922518     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the tolerability, side effects and complications of hysterosalpingocontrast sonography (HyCoSy). DESIGN: Prospective study. SETTING: University hospital. PATIENT(S): 669 infertile women. INTERVENTION(S): All patients were examined with HyCoSy and monitored for 30 minutes after the procedure. A telephone interview was subsequently carried out to record possible late side effects and postprocedural complications. MAIN OUTCOME MEASURE(S): Tolerability to the procedure was evaluated by means of an 11-point (0 to 10) numeric rating scale of the pain experienced. Postprocedural fever, pelvic infections, peritonitis, hemorrhage were recorded. RESULT(S): Of 660 patients who completed the examination, 483 (73.2%) completed the telephone follow-up after a period of 14.7 +/- 9.9 months from the procedure. The mean patient age was 34.5 +/- 4.3 years, and mean infertility duration was 28.1 +/- 23.2 months. The mean numeric rating scale was 2.7 +/- 2.5, and 10 patients (2.0%) required postprocedural drug treatment for pain relief. Mild vasovagal reactions were experienced in 20 cases (4.1%), and four patients (0.8%) had a severe vasovagal reaction. No late complications were reported. No patients required hospital admission after the procedure. CONCLUSION(S): In our series, HyCoSy was a well-tolerated examination with a very low rate of side effects and no late complications that required no atropine or anti-inflammatory drugs. These data support the safety of HyCoSy when performed as described, but further work is needed to estimate the rate of late complications and side effects in other settings.
Luca Savelli; Paola Pollastri; Manuela Guerrini; Gioia Villa; Linda Manuzzi; Mohamed Mabrouk; Stefania Rossi; Renato Seracchioli
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-10-15
Journal Detail:
Title:  Fertility and sterility     Volume:  92     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2009-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1481-6     Citation Subset:  IM    
Reproductive Medicine Unit, Department of Obstetrics and Gynecology, University of Bologna, Italy.
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MeSH Terms
Contrast Media / adverse effects,  diagnostic use*
Diagnostic Techniques, Obstetrical and Gynecological / adverse effects*
Fallopian Tube Diseases / ultrasonography
Follow-Up Studies
Infertility, Female / ultrasonography*
Interviews as Topic
Ultrasonography / adverse effects
Reg. No./Substance:
0/Contrast Media

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