Comparison of the Diagnostic Accuracy of Hysterosalpingo-lidocaine-foam Sonography Versus Hysterosalpingography in Tubal Patency Assessment to the Gold Standard of Laparoscopy and Dye Testing
Study Details
Study Description
Brief Summary
This is a cross-sectional study that compares the diagnostic accuracy of Hysterosalpingo-lidocaine-foam sonography combined with power doppler (HyLiFoSy-PD) in the assessment of tubal patency, with the diagnostic accuracy of hysterosalpingogram (HSG), and to the gold standard of laparoscopy and dye testing.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Outcome Measures
Primary Outcome Measures
- Diagnostic accuracy of HyLiFoSy and HSG with reference to LDT, in terms of sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy. [July 2022- June 2024]
Secondary Outcome Measures
- Diagnostic accuracy of adding power doppler to the HyLiFoSy [July 2022- June 2024]
Same outcome (tubal patency) will be assessed by US after adding color doppler mode. Accuracy will be represented using the same measures; sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy.
- Evaluate the procedure associated pain [July 2022- June 2024]
Pain will be assessed during the procedure (after insertion of Foley's catheter, during injection of lidocaine-made gel foam) using the verbal rating scale (VRS). Interpretation will be like: no pain, mild pain, moderate pain, severe pain.
- Evaluate the procedure duration [July 2022- June 2024]
Duration is calculated in minutes, from the introduction of Cusco speculum to the exit of Foley's catheter
- Percentage of failed or inconclusive attempts and possible reasons for that [July 2022- June 2024]
- Incidence and rate of potential complications for example: vasovagal and allergic reactions, venous intravasation [July 2022- June 2024]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age group (18-40)
-
Informed signed Written consent.
-
Scheduled for LDT as a part of their infertility management
-
Have undergone HSG in the previous 5 years with the availability of good-quality HSG images.
-
No incident factors that might have affected the tubal status after she underwent HSG within the previous 5 years, such as ; abdominal surgery or laparoscopy, pelvic inflammatory disease, smoking, and intrauterine device insertion.
Exclusion Criteria:
-
LDT scheduled for a therapeutic purpose due to a known tubal or ovarian pathology
-
Lack of good-quality HSG images.
-
Withdrawal of consent.
-
Using contraception
-
Women outside reproductive age
-
Known allergy to lidocaine
-
Active pelvic inflammatory disease
-
Undiagnosed genital tract bleeding.
-
Evident tubal pathology (such as hydrosalpinx) or pregnancy diagnosed by transvaginal ultrasound (TV-US) prior to performing HyLiFoSy-PD
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cairo university Kasr Alainy OBGYN hospital | Cairo | AlQuahira | Egypt |
Sponsors and Collaborators
- Cairo University
- Shaimaa Mostafa
- Yasmin Zakaria
- Ibrahim Fawzy
- Mona Aboulghar
- Mona Fouad
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IT28052022