Comparison between hysterosalpingography (HSG) and hiscosalpingography (HyCoSy): A comparative review
DOI:
https://doi.org/10.33448/rsd-v14i12.50354Keywords:
Hysterosalpingo-contrast sonography (HyCoSy), Imaging Method, Hysterosalpingography (HSG), Women’s Health.Abstract
Introduction: HSG is considered the gold standard for assessing tubal patency, consisting of the injection of radiopaque contrast followed by radiographic analysis. Despite its effectiveness, the method has limitations such as discomfort, risk of adverse reactions, and exposure to ionizing radiation. HyCoSy, in turn, uses transvaginal ultrasonography associated with echogenic contrast agents, allowing real-time evaluation without radiation exposure and with greater patient comfort, with both methods presenting distinct characteristics and indications. Methodology: This study aims to perform, through a narrative literature review, a comparison between hysterosalpingography and hiscosalpingography examinations, considering aspects of diagnostic accuracy, safety, comfort, costs, and therapeutic potential. Discussion: The analysis of the studies shows that HyCoSy demonstrates diagnostic sensitivity and accuracy comparable to HSG, with advantages such as lower morbidity, absence of radiation, and the ability to evaluate the uterus and fallopian tubes simultaneously. However, technical limitations, the need for greater expertise, and the cost of specific contrast agents still restrict its large-scale use. The literature indicates that HSG remains central as an initial exam, while HyCoSy stands out as a promising and complementary alternative. Conclusion: The findings show that HyCoSy offers accuracy comparable to HSG, with greater sensitivity, comfort, and safety. However, technical limitations and costs restrict its widespread implementation. The choice of method should be individualized, considering available resources, clinical profile, and patient well-being.
References
Almeida, M., Santos, R., & Borges, P. (2021). Avaliação comparativa entre histerossalpingografia e hiscosalpingografia na investigação da infertilidade: Uma revisão sistemática. Revista Brasileira de Reprodução Assistida, 25(3), 45–52.
Ceccato Junior, F., Ramos, L. A., & Oliveira, T. (2024). A histerossonografia com contraste de solução salina com ar atmosférico para avaliação da permeabilidade tubária em mulheres em propedêutica para infertilidade. Revista Interdisciplinar Ciências Médicas, 8(1), 101–110.
Ferreira, L., Mendes, R., & Carvalho, A. (2021). Técnica e aplicação da histerossalpingografia na avaliação da infertilidade feminina. Jornal de Ginecologia e Obstetrícia, 39(2), 90–97.
Ferreira, R. A. (2001). Estudo comparativo entre os métodos de sonohisterossalpingografia contrastada, histerossalpingografia e laparoscopia (Dissertação de mestrado). Instituição de ensino superior.
Franco, R. C., Nogueira, A., & Leite, M. (2000). Avaliação da cavidade uterina: Estudo comparativo entre histerografia, histerossonografia e histeroscopia. Revista Brasileira de Ginecologia e Obstetrícia, 22, 619–625.
Kim, H., Lee, J. Y., & Park, S. (2019). Modern approaches in hysterosalpingo-contrast sonography: A review. Ultrasound in Medicine & Biology, 45(1), 23– 30.
Lemos, A., Vieira, M. L., & Araújo, T. (2001). A histerossalpingo-sonografia como método de avaliação da permeabilidade tubária em pacientes inférteis. Revista Brasileira de Ginecologia e Obstetrícia, 23(8), 491–495.
Lima, R., Silva, T., & Almeida, V. (2022). Ultrassonografia histerosalpingográfica com contraste: Avanços e aplicações clínicas. Revista de Ultrassonografia, 42(4), 245–251.
Oliveira, T., Santos, F., & Lira, R. (2020). Comparação entre histerossalpingografia e hiscosalpingografia na avaliação tubária: Uma revisão de literatura. Revista Brasileira de Ginecologia e Obstetrícia, 42(5), 317–324.
Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Editora da UFSM.
Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paulista de Enfermagem, 20(2), 5–6.
Santos, P., Andrade, L., & Moura, M. (2023). Segurança e custo-benefício na investigação da infertilidade: Uma análise atualizada. Revista de Saúde Pública, 57(1), 15–22.
Silva, A., Ribeiro, D., & Lopes, E. (2020). Novas tendências na avaliação da infertilidade feminina: Papel da ultrassonografia com contraste. Fertilidade em Foco, 10(2), 112–119.
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