Results of the technique of hysterosalpingography with cervical vacuum cup cannula at Bach Mai Hospital
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Abstract
Introduction: According to the World Health Organization (WHO), infertility is the third most dangerous disease, behind cancer and cardiovascular disease, in the 21st century. Vietnam is one of the countries with the highest infertility rate in the world. Hysterosalpingography (HSG) was first introduced in 1910. Hysterosalpingography is a survey of the uterine cavity and two fallopian tubes by contrast injection. Hysterosalpingography with cervical vacuum cup cannula has many advantages compared to hysterosalpingography using Pozzi forceps such as: reduce pain and decrease bleeding and infection rates. Compared with hysterosalpingography using the balloon catheter, hysterosalpingography with cervical vacuum cup cannula is more accessible and cheaper.
Objective: Evaluate the results of the technique of hysterosalpingography with cervical vacuum cup cannula.
Methods: This cross-sectional and retrospective descriptive study included 178 female patients diagnosed with infertility and assigned to have hysterosalpingography with cervical vacuum cup cannula at Bach Mai Hospital from January 2021 to February 2024.
Results: The study was conducted on 178 patients with 169 successful cases achieving a rate of 94.9%. The majority of cases are performed in less than 10 minutes, reaching a rate of 98.2%. The fastest case is 4 minutes, the longest is 12 minutes. 29% of patients did not feel pain during the procedure. The moderate pain and mild pain groups account for 56.25 and 16.8%, respectively. There were no patients in the group with severe or unbearable pain. Only 13 patients, accounting for 7.7%, had minor bleeding complications after the procedure and spontaneously stopped afterward. 7 patients had infectious complications manifested as foul-smelling vaginal discharge, accounting for 4.1%. No patient had a fever, drug allergy, or uterine or fallopian tube perforation during the procedure. 79.3% of cases were willing to have hysterosalpingography with cervical vacuum cup cannula if indicated next time.
Conclusion: Hysterosalpingography with cervical vacuum cup cannula has simple technique, low price, high success rate, short procedure time, reduces pain and decrease bleeding and infection complications for the patient. Hysterosalpingography with cervical vacuum cup cannula should be applied more widely in medical facilities in diagnosing the cause of female infertility
Keywords
Hysterosalpingography, hysterosalpingography with cervical vacuum cup cannula,, nfertility
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References
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