Use of Gaseous Spring Water for Tubal Patency Test

Abstract

Brief Description of the Purpose of the StudyThe purpose of this study was to try Gaseous Spring water as an alternate contrast agent in Tubal Patency test which would be easily available and to reduce the cost of the procedure.MethodsThis technique is common to all procedures, regardless of the contrast agent chosen. A balloon catheter is preferred as it is less likely to dislodge and creates a better seal at the internal cervical os. Following the insertion of the catheter, the speculum is removed and the transvaginal ultrasound probe reinserted. Under Ultrasound control about 5-10 CC of echo-enhancing agent ie gaseous spring water is inserted very slowly so that Micro Air bubbles are not destroyed. Tubal patency was assessed by direct imaging of micro air bubbles at the Cornual end and by seeing the bubble constantly moving at the Cornual ean of 5 to 10 seconds to made the diagnosis of patent tube.Main ResultsOut of 360 patients examined by gaseous spring water 288 patients i.e. 80% were found to have bilateral Patent Tubes.Importance of the ConclusionsThe Tubal Patency assessment with gaseous spring water was found to be cost effective, safe, easily available and less time consuming then HSG. It is recommended that spring water should be used to check tubal patency in sub fertile women. Brief Description of the Purpose of the StudyThe purpose of this study was to try Gaseous Spring water as an alternate contrast agent in Tubal Patency test which would be easily available and to reduce the cost of the procedure. The purpose of this study was to try Gaseous Spring water as an alternate contrast agent in Tubal Patency test which would be easily available and to reduce the cost of the procedure. MethodsThis technique is common to all procedures, regardless of the contrast agent chosen. A balloon catheter is preferred as it is less likely to dislodge and creates a better seal at the internal cervical os. Following the insertion of the catheter, the speculum is removed and the transvaginal ultrasound probe reinserted. Under Ultrasound control about 5-10 CC of echo-enhancing agent ie gaseous spring water is inserted very slowly so that Micro Air bubbles are not destroyed. Tubal patency was assessed by direct imaging of micro air bubbles at the Cornual end and by seeing the bubble constantly moving at the Cornual ean of 5 to 10 seconds to made the diagnosis of patent tube. This technique is common to all procedures, regardless of the contrast agent chosen. A balloon catheter is preferred as it is less likely to dislodge and creates a better seal at the internal cervical os. Following the insertion of the catheter, the speculum is removed and the transvaginal ultrasound probe reinserted. Under Ultrasound control about 5-10 CC of echo-enhancing agent ie gaseous spring water is inserted very slowly so that Micro Air bubbles are not destroyed. Tubal patency was assessed by direct imaging of micro air bubbles at the Cornual end and by seeing the bubble constantly moving at the Cornual ean of 5 to 10 seconds to made the diagnosis of patent tube. Main ResultsOut of 360 patients examined by gaseous spring water 288 patients i.e. 80% were found to have bilateral Patent Tubes. Out of 360 patients examined by gaseous spring water 288 patients i.e. 80% were found to have bilateral Patent Tubes. Importance of the ConclusionsThe Tubal Patency assessment with gaseous spring water was found to be cost effective, safe, easily available and less time consuming then HSG. It is recommended that spring water should be used to check tubal patency in sub fertile women. The Tubal Patency assessment with gaseous spring water was found to be cost effective, safe, easily available and less time consuming then HSG. It is recommended that spring water should be used to check tubal patency in sub fertile women.