AJR Women's Imaging Online
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow A correction has been published
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by de Mello, J. F. L.
Right arrow Articles by Cerri, G. G.
Right arrow Search for Related Content
PubMed
Right arrow Articles by de Mello, J. F. L., Sr.
Right arrow Articles by Cerri, G. G.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
DOI:10.2214/AJR.07.0194
AJR 2007; 189:W49
© American Roentgen Ray Society

Reply

João F. L. de Mello, Sr., Mauricio S. Abrao and Giovanni G. Cerri

University of São Paulo School of Medicine São Paulo, Brazil



 
WEB—This is a Web exclusive article.

We thank Dr. Silberzweig [1] for his comments related to our article. He points out the importance of the location of the balloon insufflation for the high incidence of pain or discomfort experienced in the catheter group. In his explanation, he considers the internal cervical os as part of the uterine isthmus.

This parameter was not controlled in our study, but some aspects of the group and the technique need to be taken into consideration: We had a high incidence of secondary infertility [2]: around one third of the group [3]. The most important reason for the failure of the cervical location, in our experience, is previous normal delivery; therefore it is also possible that the location of the isthmus balloon may frequently have been too high.

We would first try to locate and insufflate the balloon in the cervical canal (even in the case of patients with a previous normal delivery). If the balloon were not firmly located [3], we would introduce it a little further into the uterine isthmus.

Because of the above reasons, we think our results would not change even in the light of Dr. Silberzweig's information, making further studies necessary to confirm this hypothesis. However, we recommend avoiding insufflating the balloon in the uterine isthmus in future examinations.


References
Top
 References
 

  1. Silberzweig JE. Incidence of pain during hysterosalpingography using a balloon catheter. (letter) AJR2007; 189:W48[Free Full Text]
  2. Nachtigal RD. International disparities in access to infertility services. Fertil Steril 2006;85 : 871-875[CrossRef][Medline]
  3. de Mello JFL Sr, Abrao MS, Cerri GG, Barros N. Evaluation of pain in three hysterosalpingography techniques: metal cannula with and without paracervical blockage and balloon catheter. AJR2006; 187:86 -89[Abstract/Free Full Text]

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Full Text (PDF)
Right arrow A correction has been published
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by de Mello, J. F. L.
Right arrow Articles by Cerri, G. G.
Right arrow Search for Related Content
PubMed
Right arrow Articles by de Mello, J. F. L., Sr.
Right arrow Articles by Cerri, G. G.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS