“Sea anemone” symptom in diagnosis of fallopian tubes function

В. В. Дощечкин

Abstract


The article presents the method of ultrasonographic diagnosis of fallopian tubes function by the “Sea Anemone Symptom”.

Objective: to study the function of patent uterine tubes in women among the couples with unexplained subfertility.

Design: prospective cross-sectional study.

Patients, Methods, Settings: 43 subfertile women were included into the study group. Non-contrast transvaginal sonography was carried out in all patients by the technique of mobile hydro-acoustic window (TVS+MHAW). The new “Sea Anemone Symptom” test (SAS-test) was performed for the ultrasonographic assessment of the function of fallopian tubes. In all women uterine tubes patency was confirmed by laparoscopic chromoperfusion, retro- and prospectively. The study was conducted in the Odesa center for reproductive medicine “Remedi” in the period from July 16 to December 16, 2016.

Results and discussion: 4 main sonographic phenotypes of fallopian tube funnels and associated various difficult-to-visualized pathological pelvic subjects were identified. SAS-test positive sonographic assessment confirming the functionality of one or both uterine tubes’ funnel was obtained in 30 (69.75%) of 43 women. In 10 (23.25%) negative results of SAStest served as a ground for suspicion of altered fimbriae of fallopian tubes. In 3 (7.0%) cases test results appeared doubtful. Diagnostic accuracy of SAS-test was evaluated based on the laparoscopic findings. Pathology of fallopian tubes was confirmed laparoscopically in 8 women with positive, 9 with negative and 2 women with questionable results of SAS-test.

Conclusion: the SAS-test can be used in the management of couples with unexplained infertility, when deciding on the advisability of laparoscopy. The TVS+MHAW method with its advantages in accuracy, non-invasiveness and safety profile, can serve as the first-line diagnostics of hard-to-see pelvic subjects associated with fimbriae of fallopian tube in subfertile female.


Keywords


fallopian tubes; fimbriae; SAS-test; TVS+MHAW; infertility

References


Doshchechkyn, V.V. “Identification of intact fallopian tubes using the new non-contrast ultrasound technique ‘The Mobile Hydroacoustic Window’.” J Biomedical Biosocial Anthropology 27 (2016): 161–6.

Papaioannou, S., Afnan, M., Jafettas, J. “Tubal assessment tests: still have not found what we are looking for.” Reprod Biomed Online 15.4 (2007): 376–82.

Franz, M., Ott, J., Watrelot, A., et al. “Prospective evaluation of the learning curve of fertiloscopy with and without ovarian drilling.” Reprod Biomed Online 30.4 (2015): 408–14.

Chizen, D.R., Pierson, R.A. “Transvaginal ultrasonography and female infertility.” Glob libr women’s med (2010). DOI: 10.3843/GLOWM.10326

Doshchechkyn, V.V. “Transvaginal MHAW-sonography: new possibilities in evaluating of the fallopian tubes function.” J Biomedical Biosocial Anthropology 28 (2017): 175-80.

Imaging in reproductive sciences: Medicine, Physiology, Biology (2016). Web-source. Ed. by V.V. Doshchechkyn. Available from: [https://journalrp.jimdo.com/], last accessed Sep 26, 2017.

Watrelot, A. “Place of transvaginal fertiloscopy in the management of tubal factor disease.” Reprod Biomed Online 15.4 (2007): 389–95.


GOST Style Citations


1. Doshchechkyn, V.V. “Identification of intact fallopian tubes using the new non-contrast ultrasound technique ‘The Mobile Hydroacoustic Window’.” J Biomedical Biosocial Anthropology 27 (2016): 161–6.

2. Papaioannou, S., Afnan, M., Jafettas, J. “Tubal assessment tests: still have not found what we are looking for.” Reprod Biomed Online 15.4 (2007): 376–82.

3. Franz, M., Ott, J., Watrelot, A., et al. “Prospective evaluation of the learning curve of fertiloscopy with and without ovarian drilling.” Reprod Biomed Online 30.4 (2015): 408–14.

4. Chizen, D.R., Pierson, R.A. “Transvaginal ultrasonography and female infertility.” Glob libr women’s med (2010). DOI: 10.3843/GLOWM.10326

5. Дощечкин, В.В. Трансвагинальная МГО-сонография: новые возможности в оценке функции маточних труб / В.В. Дощечкин // J Biomedical Biosocial Anthropology 28 (2017): 175–80. Vinnytsia, VNMU, УДК 618.12-007.271; ISSN – 1816-031X.

6. Imaging in reproductive sciences: Medicine, Physiology, Biology (2016). Web-source. Ed. by V.V. Doshchechkyn. Available from: [https://journalrp.jimdo.com/], last accessed Sep 26, 2017.

7. Watrelot, A. “Place of transvaginal fertiloscopy in the management of tubal factor disease.” Reprod Biomed Online 15.4 (2007): 389–95.





DOI: https://doi.org/10.18370/2309-4117.2017.37.14-18

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ISSN 2411-1295 (Online), ISSN 2309-4117 (Print)