Unique ID issued by UMIN | UMIN000016884 |
---|---|
Receipt number | R000019600 |
Scientific Title | A comparison of Hysterosalpingo-foam sonography (HyFoSy) and Hysterosalpingo-contrast sonography with saline medium (HyCoSy) in the assessment of tubal patency |
Date of disclosure of the study information | 2015/03/23 |
Last modified on | 2015/03/23 21:21:07 |
A comparison of Hysterosalpingo-foam sonography (HyFoSy) and Hysterosalpingo-contrast sonography with saline medium (HyCoSy) in the assessment of tubal patency
A comparison of Hysterosalpingo-foam sonography (HyFoSy) and Hysterosalpingo-contrast sonography with saline medium (HyCoSy) in the assessment of tubal patency
A comparison of Hysterosalpingo-foam sonography (HyFoSy) and Hysterosalpingo-contrast sonography with saline medium (HyCoSy) in the assessment of tubal patency
A comparison of Hysterosalpingo-foam sonography (HyFoSy) and Hysterosalpingo-contrast sonography with saline medium (HyCoSy) in the assessment of tubal patency
Asia(except Japan) |
Reproductive Medicine
Obstetrics and Gynecology |
Others
NO
We performed a randomised controlled selective cross- over trial to compare the diagnostic yield and efficacy of ExEm foam (HyFoSy) with saline medium (HyCoSy) as a contrast agent for hysterosalping- contrast sonography in subfertile patients.
Safety,Efficacy
Exploratory
Pragmatic
The following outcome measures were used to assess diagnostic yield:
- Proportion of patent tubes detected with the initial tubal patency test.
- Proportion of possibly occluded or unexaminable tubes that were re- classified as patent on cross- over testing.
Efficacy was defined as the proportion of patients who required cross- over testing (i.e had at least one possibly occluded or unexaminable tube on the initial tubal patency test).
Cross-over
Randomized
Individual
Single blind -participants are blinded
Active
NO
NO
2
Diagnosis
Device,equipment | Maneuver |
A routine non- contrast vaginal ultrasound assessment of the pelvic organs was performed before tubal evaluation. The procedure for HyCoSy using saline medium was as follows: The cervix was visualised with a Cussco speculum and cleaned with an antiseptic. A No. 5 pediatric Foley catheter was introduced into the cervical os, using a tenaculum if necessary. The balloon was positioned in the lower uterine cavity and inflated with 2 ml of saline to prevent backflow of contrast medium through the cervix. The speculum was removed and the vaginal transducer was reintroduced in the longitudinal plane to confirm correct placement of the catheter. Sterile normal saline (0.9% NaCl) in a 20- ml syringe was introduced into the endometrial cavity while observing the uterine cornua at the transverse plane using B- mode and colour Doppler. After tubal evaluation is completed, the balloon is deflated and up to 5 ml of normal saline instilled to look for intracavitary lesions.
The procedure for HyFoSy was as follows The cervix was visualised and cleansed in the same manner as with HyCoSy. The prepackaged balloon less cervical catheter was introduced into the cervical os, using a tenaculum if necessary. The speculum was removed and the vaginal transducer was reintroduced in the longitudinal plane. Up to 5 ml of sterile water was instilled to confirm correct placement of the catheter and look for intracavitary lesions then re aspirated before proceeding to tubal evaluation. 20 ml of foam contrast was reconstituted from ExEm gel and water according to the manufacturers instructions and introduced into the endometrial cavity while observing the uterine cornua at the transverse plane using B mode.
21 | years-old | <= |
Not applicable |
Female
All patients referred for tubal patency assessment at the Singapore General Hospitals Centre for Assisted Reproduction were invited to participate. Inclusion criteria were subfertile women who required office tubal patency evaluation after assessment by a consultant gynaecologist.
Exclusion criteria were age below the legal limit for consent (21 years old), inability to give informed consent, active pelvic infection, active uterine bleeding (including menstruation) and refusal to undergo cross- over testing
40
1st name | |
Middle name | |
Last name | Lim Liqing Serene |
Singapore General Hospital
Obstetrics and Gynecology
1 Hospital Drive Singapore 169608
8121630
pluiepluie@gmail.com
1st name | |
Middle name | |
Last name | Lim Liqing Serene |
Singapore General Hospital
Obstetrics and Gynecology
1 Hospital Drive
81211630
pluiepluie@gmail.com
Neuvital Pte Ltd
Neuvital Pte Ltd
Other
NO
2015 | Year | 03 | Month | 23 | Day |
Unpublished
Completed
2014 | Year | 02 | Month | 01 | Day |
2014 | Year | 04 | Month | 01 | Day |
2015 | Year | 03 | Month | 23 | Day |
2015 | Year | 03 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019600
Research Plan | |
---|---|
Registered date | File name |
Research case data specifications | |
---|---|
Registered date | File name |
Research case data | |
---|---|
Registered date | File name |