Salpingography: metrosalpingography, tube pertubation - Causes, symptoms and treatment. MF.

Salpingography combines a group of methods for examining the uterine cavity and fallopian tubes for the diagnosis of tubal infertility, tumors and malformations of female genital organs.

Salping techniques such as pertubation or kimoperpertation of use the filling of the uterine cavity with air, which, in the absence of obstruction, must exit through the fallopian tubes. In this case, the obstruction of one of the fallopian tubes is not always accurately diagnosed.

In addition to air purging, salpingography also uses various fluids injected through the catheter, such as hydroturbation, which is used not only for diagnosis, but also for the treatment of obstruction of the fallopian tubes.

A separate group of diagnostic methods for salpingography is metrosalpingography or hysterosalpingography( gsg) of , in which the uterus and fallopian tubes are filled with X-ray contrast fluid and then fluoroscopy is performed.

These salpingographic methods more accurately determine the patency of each fallopian tube, tumors and various malformations of the internal sex organs of a woman, the diagnosis of female infertility and miscarriage.

In addition to fluoroscopy, metrosalpingography and hysterosalpingography can use ultrasound diagnostics that do not cause irradiation.

Ultrasonic salpingography instead of radiocontrast fluids uses saline solutions that do not cause allergies, which reduces the possible negative consequences.

How is salping performed?

Most often, hydrotubation is performed to determine the patency of the fallopian tubes: a radiopaque substance is injected into the uterus and a photograph taken at the X-ray installation.

Metrosalpingography( hysterosalpingography) - the method of radiographic examination of the uterine cavity( hysterography) and fallopian tubes by their artificial contrasting. It is used to determine the cause of infertility, with suspicion of malformation of internal genital organs, submucous fibroids, endometrial cancer, tubal tumors, etc.

The study is often conducted on the 7-19th day after the end of menstruation in the position of a woman for gynecological examination. After treatment of the vagina and cervix with alcohol solution of iodine, a uterine cannula is introduced into the cervical canal through which 10-12 ml of a 60-76% solution of a water-soluble radiocontrast substance with a temperature of 36-37 ° is slowly introduced into the uterine cavity under the control of fluoroscopy. As the uterus and uterine tubes fill, radiography is performed. If the X-rays do not show the filling of the fallopian tubes in 3-5 minutes after 20-25 minutes, repeat pictures are taken. The radiographs assess the condition of the cervical canal, the position of the uterus, the configuration and size of its cavity, the location and patency of the fallopian tubes.

The study may be accompanied by a short-term increase in body temperature and abdominal pain( pass alone).allergic reactions.

Metrosalpingography is contraindicated in acute or subacute inflammatory processes of genital organs, acute infectious diseases, thrombophlebitis.

Advantages of salpingography before laparoscopy

Salpingography, unlike laparoscopy, is non-invasive( without instrumental penetration into the abdominal cavity), does not require anesthesia, is relatively well tolerated( discomfort is noted as with intrauterine device spiral), does not complicate.

Disadvantages of salpingography before laparoscopy

Metrosalpingography does not give 100% confidence in the patency of the fallopian tubes.