Three dimensional sonohysterography versus standard hysterosalpingography in infertile women

Objective: to compare three-dimensional hystero-salpingo contrast sonography (3D-Sonohysterography) versus X-ray sonohysterography (XHSG) in the initial assessment of infertile women
Design: Prospective clinical trial
Setting: KasrEl-Aini Hospital, Cairo University
Materials and Methods: Fifty infertile women underwent 3D hysterosalpingography and standard hysterosalpingography. The decision of doing either of the two tests was independent of the results of the other test. Every patient was herself control.
Results: Tubal patency by 3D hysterosalpingography was 83% patent and 17 % blocked as compared to hysterography. The full contour of the uterine cavity was depicted in 80% by standard HSG and 100% of cases by 3D HSG.
Conclusion: Three-dimensional hystero-salpingo contrast sonography (3D-Sonohysterography) provides a good alternative to conventional X-ray HSG for tubal factor evaluation and gives an outline of the uterine cavity. It is feasible with minimal invasiveness, avoidance of exposure to X-rays; the possibility of being performed as an outpatient procedure