Procedure, Indications and Hazards of Hysterosalphingography
HSG is an operative procedure whereby a radiographic study of the interior of the uterotubal anatomy is made using a contrast media.
Indications of HSG
- To note the tubal patency in case of Infertility or following the tubal operation
- To detect uterine malformation in the recurrent mid trimester abortion
- To diagnose the cervical incompetency
- To identify the translocated IUD wheter lying inside or outside the uterine cavity
- To diagnose the uterine Synechiae
- To confirm the diagnosis of secondary abdominal pregnancy
- Incidental diagnosis of submucous fibroid or an uterine polyp or hydrosalpinx or nodular tube is an additional gain.
Steps in the Procedure
- Procedure room- Radiology department
- Anesthesia : Not required
- Patient is askes to empty her bladder.
- She is placed on dorsal position with the buttocks on the edge
- Internal examination is the done
- Posterior vaginal speculum is introduced and the anterior lip of the cervix is held with Vulsellum
- Uterine sound is passed
- Hysterosalpigographic cannula is fitted with a syringe containing radio-opaque dye- Urografin- Sodium Ditriazoate. About 5-10 ml .
- Speculum and vulsellum are removed but the cannula is kept intact.
- Immedicately X-ray is done in AP view. Cannula is removed and after 10 minues another Xray is done.
- The tubal patency is evidenced by spillage of dye.
- Peritoneal Irriation and pelvic pain
- Vasovagal attack
- Intravastation of Dye in venous or lymphatics
- Flaring of Pelvic infection
Hysterosalpingography Procedure Video