Uterine Niche and Secondary Infertility: Agreement in Diagnosis Using Hysterosalpingography vs. Hydrosonography | ||||
| Evidence Based Women's Health Journal | ||||
| Article 48, Volume 12, Issue 4, November 2022, Page 338-344 PDF (347.17 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ebwhj.2022.163887.1202 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Etman  1; Sara Abdel Azeem1; Abd El-Samie Abd El-Samie1; Mohamed Bakry2
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| 1Obstetrics and gynecology department, Faculty of Medicine, Fayoum University | ||||
| 2Department of obstetrics and gynecology, Faculty of Medicine, Fayoum University | ||||
| Abstract | ||||
| Objectives: To compare the accuracy of hydrosonography and hysterosalpingography in diagnosis of niche and to evaluate the correlation between niche and sub-infertility. Study Design: A prospective observational cross-sectional comparative study Patients and Methods: The study was carried out on 50 women underwent at least one caesarean section with unexplained secondary infertility presented at the outpatient obstetric clinic at Fayoum university hospital. Assessment of uterine scar in each woman was performed using 2D transvaginal with Saline Infusion hydrosonography (SHG) followed by hysterosalpingography. Results: The prevalence of niche among our studied women was (62%, 31 cases) as diagnosed by Hydrosonography, while by Hysterosalpingography, the prevalence was (56%, 28 cases). Hydrosonography and hysterosalpingography showed strong substantial agreement regarding niche with kappa (κ) 0.712. Using hysterosalpingography can diagnose post-CS niche as compared with hydrosonography with 83.9% sensitivity 89.5% specificity, 92.9% PPV, 77.3% NPP and 86% accuracy. Conclusions: We detected a strong substantial agreement between hydrosonography and hysterosalpingography in diagnosis of niche. | ||||
| Keywords | ||||
| Cesarean section niche; diagnostic methods; HSG; hydrosonography; uterine niche | ||||
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