{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:30:02Z","timestamp":1792189802347,"version":"4.4.0"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"07","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hysteroscopy has been recognized as a reliable method for the evaluation of female infertility for several years. The outpatient setting is particularly convenient, as patients do not require general anesthesia and do not have to stay overnight. In recent years, more and more articles have dealt with the role of diagnostic hysteroscopy in tubal evaluation. Twenty-four articles were included in this comprehensive review and 14 of them were also included in a meta-analysis. This review provides an overview of the different techniques of hysteroscopic tubal evaluation, with a focus on perioperative changes in cul-de-sac volume, the air bubble technique (\u201cParryscope\u201d technique), the Flow technique and selective hysteroscopic pertubation with methylene blue dye (SHPMBD). In pooled analyses, SHPMBD achieved the highest sensitivity for tubal patency (91.7%, 95% confidence interval, CI: 88.8\u201394.0), whereas the air bubble technique revealed the highest specificity of all methods\n      (98.4, 95% CI: 95.3\u201399.6). Furthermore, in a meta-analysis of all methods on the assessment of single tubes, an overall sensitivity of 87.1% and an overall specificity of 79.8% (95% CI: 76.4\u201382.9) could be shown. In conclusion, the techniques of hysteroscopic tubal evaluation are well-tolerated, clinically relevant, and reliable.<\/jats:p>","DOI":"10.1055\/a-2304-5018","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T01:01:56Z","timestamp":1720573316000},"page":"619-628","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Hysteroscopy in the Assessment of Fallopian Tubal Patency: A Comprehensive Review and Meta-analysis"],"prefix":"10.1055","volume":"84","author":[{"given":"Marlene","family":"Hager","sequence":"additional","affiliation":[{"name":"Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2761-5262","authenticated-orcid":false,"given":"Johannes","family":"Ott","sequence":"additional","affiliation":[{"name":"Clinical Division of Gynecological Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"ref1","first-page":"235","article-title":"Implementation of hysteroscopy in an infertility clinic: The one-stop uterine diagnosis and treatment","volume":"6","author":"R Campo","year":"2014","journal-title":"Facts Views Vis Obgyn"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.fertnstert.2019.06.031","article-title":"Hysteroscopy and why macroscopic uterine factors matter for fertility","volume":"112","author":"JP Parry","year":"2019","journal-title":"Fertil Steril"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1055\/a-0826-1326","article-title":"The Role of Diagnostic Hysteroscopy in the Evaluation of Fallopian Tube Patency: a Short Review","volume":"79","author":"M Hager","year":"2019","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1016\/j.jmig.2020.11.013","article-title":"Hysteroscopy for Assessing Fallopian Tubal Obstruction: A Systematic Review and Diagnostic Test Accuracy Meta-analysis","volume":"28","author":"SG Vitale","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1007\/s00404-010-1437-x","article-title":"Office hysteroscopy: current trends and potential applications: a critical review","volume":"282","author":"C Siristatidis","year":"2010","journal-title":"Arch Gynecol Obstet"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1073","DOI":"10.1007\/s00404-021-05993-0","article-title":"Detection of hysteroscopic fluid in the pouch of Douglas: a prospective cohort study about the predictability of bilateral tubal occlusion","volume":"304","author":"M Hager","year":"2021","journal-title":"Arch Gynecol Obstet"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1002\/jcu.20883","article-title":"Comparison between transvaginal sonography after diagnostic hysteroscopy and laparoscopic chromopertubation for the assessment of tubal patency in infertile women","volume":"40","author":"J Habibaj","year":"2012","journal-title":"J Clin Ultrasound"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1016\/j.jmig.2017.02.010","article-title":"Proximal Tubal Patency Demonstrated Through Air Infusion During Flexible Office Hysteroscopy Is Predictive of Whole Tubal Patency","volume":"24","author":"JP Parry","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s00404-009-0953-z","article-title":"A new technique for the diagnosis of fallopian tube patency by using hysteroscopy with ultrasound compared with hysterosalpingography in infertile women","volume":"280","author":"B Yildizhan","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1016\/j.jmig.2017.11.020","article-title":"Accuracy of Tubal Patency Assessment in Diagnostic Hysteroscopy Compared with Laparoscopy in Infertile Women: A Retrospective Cohort Study","volume":"25","author":"R Promberger","year":"2018","journal-title":"J Minim Invasive Gynecol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.jmig.2019.03.006","article-title":"Assessment of Tubal Patency: A Prospective Comparison of Diagnostic Hysteroscopy and Laparoscopic Chromopertubation","volume":"27","author":"J Ott","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1552","DOI":"10.1016\/j.jmig.2020.01.014","article-title":"Hysteroscopic Assessment of Tubal Patency: A Randomized Comparison between the Flow and Parryscope Techniques","volume":"27","author":"M Hager","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1016\/j.jmig.2012.03.016","article-title":"Accuracy of assessment of tubal patency with selective pertubation at office hysteroscopy compared with laparoscopy in infertile women","volume":"19","author":"P T\u00f6r\u00f6k","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"529","DOI":"10.7326\/0003-4819-155-8-201110180-00009","article-title":"QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies","volume":"155","author":"PF Whiting","year":"2011","journal-title":"Ann Intern Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1556\/650.2017.30653","article-title":"A petevezet\u00e9k-\u00e1tj\u00e1rhat\u00f3s\u00e1g vizsg\u00e1l\u00f3m\u00f3dszereinek \u00f6sszehasonl\u00edt\u00f3 elemz\u00e9se [Comparison of current methods of tubal patency assessment]","volume":"158","author":"J L\u0151rincz","year":"2017","journal-title":"Orv Hetil"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1613","DOI":"10.2147\/IJWH.S386746","article-title":"Fertility Improvement of Hysteroscopy with Chromopertubation in the Management of Infertile Women with Hysterosalpingography Evidence of Abnormal Tubal Patency: A Prospective Comparative Study","volume":"14","author":"H Shen","year":"2022","journal-title":"Int J Womens Health"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"101","DOI":"10.4103\/abr.abr_71_17","article-title":"Evaluation of Efficacy of Transvaginal Sonography with Hysteroscopy for Assessment of Tubal Patency in Infertile Women Regarding Diagnostic Laparoscopy","volume":"25","author":"F Mardanian","year":"2018","journal-title":"Adv Biomed Res"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1016\/j.jmig.2017.12.024","article-title":"Regarding \u201cAccuracy of 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