OBJECTIVE: A practical attempt to simplify and improve the technique of artificial uterine cavity distension by instilling gel instead of flushing saline. DESIGN: Prospective observational study. SETTING: Teaching hospital. PATIENT(S): One hundred twenty patients with an indication for sonohysterography (abnormal uterine bleeding, exclusion of congenital abnormalities, or preoperative or postoperative evaluation of submucous myomas, polyps, or synechiae). INTERVENTION(S): A hydroxyethylcellulose gel containing anesthetic and antiseptic agents was instilled in the uterine cavity through a plastic intrauterine insemination cannula attached to a flexible plastic tube and a syringe. Transvaginal (3-dimensional) ultrasonography was performed concomitantly. MAIN OUTCOME MEASURE(S): Stable filling of the uterine cavity allowing a high-quality ultrasonographic visualization. RESULT(S): An optimal distension of the uterine cavity could be achieved with an average of only 4 mL (range, 2-10 mL) in 113 patients. As expected, a stable filling of the uterine cavity permitted a precise visualization of the uterine cavity and its linings and offered an optimal presentation for a 3-dimensional ultrasound recording and reconstruction. CONCLUSION(S): Gel instillation is a simple technique with minimal inconvenience for the patient and seems to be an attractive alternative to saline infusion during sonohysterography.
OBJECTIVE: A practical attempt to simplify and improve the technique of artificial uterine cavity distension by instilling gel instead of flushingsaline. DESIGN: Prospective observational study. SETTING: Teaching hospital. PATIENT(S): One hundred twenty patients with an indication for sonohysterography (abnormal uterine bleeding, exclusion of congenital abnormalities, or preoperative or postoperative evaluation of submucous myomas, polyps, or synechiae). INTERVENTION(S): A hydroxyethylcellulose gel containing anesthetic and antiseptic agents was instilled in the uterine cavity through a plastic intrauterine insemination cannula attached to a flexible plastic tube and a syringe. Transvaginal (3-dimensional) ultrasonography was performed concomitantly. MAIN OUTCOME MEASURE(S): Stable filling of the uterine cavity allowing a high-quality ultrasonographic visualization. RESULT(S): An optimal distension of the uterine cavity could be achieved with an average of only 4 mL (range, 2-10 mL) in 113 patients. As expected, a stable filling of the uterine cavity permitted a precise visualization of the uterine cavity and its linings and offered an optimal presentation for a 3-dimensional ultrasound recording and reconstruction. CONCLUSION(S): Gel instillation is a simple technique with minimal inconvenience for the patient and seems to be an attractive alternative to saline infusion during sonohysterography.
Authors: M C I Lier; H Özcan; A M F Schreurs; P M van de Ven; K Dreyer; L E E van der Houwen; N P Johnson; F Vandekerckhove; H R Verhoeve; W Kuchenbecker; B W Mol; C B Lambalk; V Mijatovic Journal: Hum Reprod Open Date: 2020-11-16
Authors: Soetkin G Thijssen; Ruben R G Heremans; Meri Nderlita; Wouter J G Froyman; Susanne Housmans; Willy A J Poppe; Dirk Timmerman; Thierry Van den Bosch Journal: J Med Ultrasound Date: 2019-09-06