Hystérosalpingographie

In: Physiologie, pathologie et thérapie de la reproduction chez l’humain · 2011 · pp. 209–224 · doi:10.1007/978-2-8178-0061-5_19 · W4247326301
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Hysterosalpingography, while less common due to newer imaging techniques, retains its value in evaluating the fallopian tubes of infertile women.

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The paper reviews hysterosalpingography (HSG) as a long-used imaging method for evaluating the female genital tract, explaining that it has been increasingly challenged by ultrasound, hysteroscopy, CT, and MRI and has become relatively outdated for uterine cavity and myometrial wall assessment. It emphasizes that, despite this decline, HSG retains full value for assessing fallopian tubes in infertile women, describing salpingography’s privileged role at cornual, mediotubal, and ampullo-infundibular levels compared with other radiologic or ultrasound options. A stated caveat is the overall shift in practice away from HSG as the monopoly imaging technique for other pelvic structures. Relevance to endometriosis: the paper does not explicitly discuss endometriosis, focusing instead on tubal imaging in infertility, so it was included in the corpus via keyword match in the upstream search index.

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Résumé Durant longtemps, l’hystérosalpingographie (HSG) est demeurée la seule imagerie de l’appareil génital féminin avant que les techniques concurrentes, échographie, hystéroscopie, tomodensitométrie et imagerie par résonance magnétique ne viennent contester une situation monopolistique. Aujourd’hui l’HSG est de fait tombée dans une situation de relative désuétude et pourrait même sembler condamnée à disparaître. L’exploration de la cavité utérine revient maintenant à l’hystéroscopie et celle de la paroi myométriale aux ultrasons et à l’IRM. L’endométriose comme la pathologie ovarienne relévent désormais d’autres méthodes que l’opacification génitale. Toutefois, l’HSG garde sa pleine valeur dans l’exploration de la trompe chez les femmes infertiles. Aux différents niveaux de celle-ci, cornual, médiotubaire et ampullo-infundibulaire, la salpingographie conserve une place privilégiée que les autres explorations ultrasonores ou radiologiques ne sauraient raisonnablement lui contester. Preview Unable to display preview. Download preview PDF. Références Thomassin’Naggara I, Perrot N, Salem C et al. (2008) Pathologie tubaire. Encycl Med Chir (Paris, Elsevier SAS) 34–610 A–10 Belt M, Rodenko G, Keisha Taylo M et al. (2008) Use of gadolinium for hysterosalpingography in iodine allergic women: a case control study. Fertil Steril 90:835–838 Silberzweig JE, Khorsandi AS, Caldon M, Alam S (2008) Gadolinium for hystero-salpingography. J Reprod Med 53: 15–19 Maubon A, Pouquet M, Mazet N et al. (2008) Imagerie de l’infertilité féminine. J Radiol 89:172–184 Carrascosa P, Baronio M, Capuñay C (2008) Multidirector computed tomography virtual hysterosalpingography in the investigation of the uterus and fallophian tubes. Eur J Radiol 67:531–535 Freeman-Walsh C, Fahrig R, Ganguly A et al. (2008) A hybrid radiography/MRI system for combining hysterosalpingography and M RI in infertility Patients: initial Experience. AJR190:W157–W160 Hubacher D, Grimes D, Lara-Ricalde R et al. (2004) The limited clinical usefulness of taking a history in the evaluation of women with tubal factor infertility. Fertil Steril 81:6–10 Ubaldi F, Wisanto A, Camus M et al. (1998) The role of transvaginal ultrasonography in the detection ot pelvic pathologies in the infertility workup. Hum Reprod 13:330–333 Tvarijonaviciene E, Nadisauskiene RJ (2008) The value of hysterosalpingography in the diagnosis of tubal pathology among infertile patients. Medicina (Kaunas) 44:439–448 Sakar MN, Gul T, Atay AE, Celik Y (2008) Comparison of hysterosalpingography and laparoscopy in the valuation of infertile women. Saudi Med J 29:1315–1318 Swart P, Mol BW, van der Veen F et al. (1995) The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta analysis. Fertil Steril 64:486–491 Woolcott R, Fisher S, Thomas J, Kable W (1999) A randomized, prospective, controlled study of laparoscopic dye studies and selective salpingography as diagnostic tests of fallopian tube patency. Fertil Steril 72:879–884 Bulletti C, Panzini I, Borini A et al. (2008) Pelvic factor infertility: diagnosis and prognosis of various procedures. Ann NY Acad Sci 1127:73–82 Mol BW, Swart P, Bossuyt PM et al. (1996) Reproducibility of the interpretation of hysterosalpingography in the diagnosis of tubal pathology. Human Reprod 11:1204–1208 Simpson WL, Beitia LJ, Meister J (2006) Hysterosalpingography: a reemerging study. RadioGraphics 26:419–431 Johnson N, Vandekerckhove P, Watson A et al. (2005) Tubal flushing for subfertility. Cochrane Database of Systematic Reviews CD003718 Mol BW, Swart P, Bossuyt PM et al. (1997) Is hysterosalpingography an important tool in predicting fertility outcome? Fertil Steril 67:663–669 Canis M, Mage G, Pouly JL et al. (1991) Laparoscopic distal tuboplasty: report of 87 cases and a 4-year experience. Fertil Steril 56:616–621 Papaioannou S (2004) A hypothesis for the pathogenesis and natural history of proximal tubal blockage. Hum Reprod 19:481–485 Schemoul G, Silvera S, Augui J et al. (2007) Radiologically-guided hysterosalpingography and tubal catheterization. Gynecol Obstet Fertil 35:55–59 Vardhana PA, Silberzweig JE, Guarnaccia M, Sauer MV (2009) Hysterosalpingography with selective salpingography. J Reprod Med 54:126–132 Li QY, Zhou XL, Qin HP et al. (2004) Analysis of 1006 cases with selective salpingography and fallopian tube recanalization. Chan Ke Za Zhi 39:80–82 Author information Authors and Affiliations Rights and permissions Copyright information © 2011 Springer-Verlag France, Paris About this chapter Cite this chapter Madelenat, P., Schemoul, G., Juras, J., Yazbeck, C. (2011). Hystérosalpingographie. In: Physiologie, pathologie et thérapie de la reproduction chez l’humain. Springer, Paris. https://doi.org/10.1007/978-2-8178-0061-5_19 Download citation DOI: https://doi.org/10.1007/978-2-8178-0061-5_19 Publisher Name: Springer, Paris Print ISBN: 978-2-8178-0060-8 Online ISBN: 978-2-8178-0061-5 eBook Packages: MedicineMedicine (R0)

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