The Role of Sonosalpingography in the Diagnosis and Management of Tubal Occlusion

What is Sonosalpingography?

Sonosalpingography (SSG) is a minimally invasive imaging technique that has revolutionized the diagnosis and management of tubal occlusion. This technique enables clinicians to accurately diagnose and treat tubal occlusion using ultrasound guidance. It is an invaluable tool for gynaecologists and fertility specialists, allowing them to confirm tubal patency in a safe and cost-effective manner.

How Does Sonosalpingography Work?

During sonosalpingography, a sterile saline solution mixed with air is introduced into the uterine cavity through a thin catheter. Under real-time ultrasound guidance, the radiologist watches as the fluid flows through the fallopian tubes. If the tubes are patent (open), the fluid is seen flowing freely. If blocked, the fluid cannot pass through, indicating tubal occlusion.

Advantages Over HSG

Sonosalpingography offers several advantages over traditional HSG: no radiation exposure, no iodinated contrast dye (reducing allergy risk), performed in the ultrasound room without special X-ray equipment, less painful for most patients, and can simultaneously evaluate the uterus and ovaries.

When is SSG Recommended?

SSG is recommended as part of infertility evaluation to assess tubal patency, for patients with iodine allergy who cannot undergo HSG, as a follow-up after tubal surgery, and for patients who prefer a radiation-free alternative to HSG.

Frequently Asked Questions