Transvaginal ultrasonography associated with colour Doppler energy in the diagnosis of hydrosalpinx

The aims of this prospective study were to investigate the accuracy of B-modetransvaginal ultrasonography alone, using the typical finding of the presence of an elongated shaped mass with incomplete septa, in the screening of hydrosalpinxin women undergoing surgery for gynaecological diseases, and to determine the predictive value of this method combined with color Doppler energy (CDE) imaging evaluation and CA125 concentrations in differentiating hydrosalpinx from other adnexal masses. In the first part of the study, 378 consecutive pre-menopausal nonpregnant women were submitted to transvaginal ultrasonographyalone before surgery. In the second part of the study, 256 adnexal masses underwent transvaginal ultrasonograp combined with CDE imaging evaluation associated with spectral Doppler analysis and plasma concentrations of CA125.