HYSTEROSALPINGOGRAPHY AFTER HYSTEROSCOPIC SURGERY

Citation
Mym. Chen et al., HYSTEROSALPINGOGRAPHY AFTER HYSTEROSCOPIC SURGERY, Abdominal imaging, 19(5), 1994, pp. 477-480
Citations number
12
Categorie Soggetti
Gastroenterology & Hepatology","Radiology,Nuclear Medicine & Medical Imaging
Journal title
ISSN journal
09428925
Volume
19
Issue
5
Year of publication
1994
Pages
477 - 480
Database
ISI
SICI code
0942-8925(1994)19:5<477:HAHS>2.0.ZU;2-Y
Abstract
We reviewed pre- and postoperative appearances of the uterine cavity o n hysterosalpingography (HSG) in 28 patients who had hysteroscopic sur gery. Twelve patients presented with primary infertility and 16 patien ts with secondary infertility. The uterine abnormalities included syne chiae (12), septa (8), submucosal fibroids (7), and polyp (1). The siz e and number of lesions in the uterus, the extent of improvement after surgery, and the postoperative pregnancy rate were recorded. The uter ine cavity was restored to a normal appearance in 23 (82%) of 28 patie nts. In patients after fibroid resection, all uterine cavities reverte d to normal after surgery. Two patients developed adhesions after sept al resection. Three patients with lysis of synechiae remained unchange d or had worsened intrauterine scarring. The postoperative pregnancy r ate was 35% (six of 17) in those patients followed for more than 6 mon ths. One patient had a spontaneous abortion. In the six patients who b ecame pregnant, four had secondary infertility, and all had normal or substantial improvement in the appearance of the uterine cavity after surgery. Perforation of the uterus occurred in one patient after resec tion of a fibroid.