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Radiodiagnosis “ ROLE OF SALINE INFUSED SONOHYSTEROGRAPHY IN EVALUATION OF INFERTILITY ”

B ST R A C T Aims & Objectives of Study: To document and study the accuracy of saline infused sonohysterosalpingography (SIS) for endometrial and tubal pathologies in infertility and to correlate the findings with hysteroscopy and hysterosalpingography. Materials and methods: Fifty patients with infertility were subjected to SIS (TOSHIBA APLIO-500; 5-7.5 MHz linear transducer). Both endometrial pathologies and tubal patency were recorded. The findings were correlated with hysteroscopy/hysterosalpingography. Results: Out of these 50 infertility cases 40% had tubal blockage, 32% were diagnosed with endometrial pathology & 10% were having both endometrial and tubal pathology while 18% patients were normal. Sensitivity, specificity, PPV, NPV & accuracy of SIS for assessing tubal patency were found to be 95.00%, 96.67%, 95.00%, 96.67% and 96 % respectively in this study. The sensitivity, specificity, PPV, NPV and accuracy of SIS for endometrial pathology were found to be 92.85%, 91.67%, 81.25%, 97.05% and 92 % respectively in this study which is far superior to TVS and comparable with hysteroscopy. Conclusion: The diagnostic accuracy of the SIS is comparable with hysteroscopy and hysterosalpingography along with it provides advantage of being non-invasive, having minimal pain and trauma compared to hysteroscopy and hysterosalpingography. Though TVS is baseline investigation of infertility it is not an adequate test for assessment of intrauterine pathology, moreover TVS cannot assess tubal patency. ORIGINAL RESEARCH PAPER Radiodiagnosis