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The Effect of the Full Bladder in Hystero-Salpingography

Department of Radiology, United Oxford Hospitals

E. O. Williams, M.A., F.R.C.S., M.R.C.O.G.

Guildford

This excerpt was created in the absence of an abstract.

1. The object of the paper is to record the importance of bladder distension in hystero-salpingography.

2. An attempt to note the effect of a full rectum was abandoned as it was not found possible to reproduce a physiologically filled rectum.

3. Twelve unselected patients were catheterised prior to hystero-salpingography. Their bladders were drained and a sufficient volume of normal saline run in to cause the patient discomfort. This volume varied from 8 to 15 oz.

4. Routine hystero-salpingography was then performed. The position of the uterus and of the tubes and their ability to spill was noted before and after emptying the bladder. Every effort was made to produce spill before emptying the bladder by the use of anti-spasmodics, posture, etc.

5. The observed results are recorded and illustrated by selected cases and films. 6. The question of tubal position and tubal mobility is discussed.

7. It is concluded that:

(i) The position of the tubes can be influenced by a full bladder and that a distended bladder may cause a picture resembling hydrosalpinx.

(ii) Much valuable information regarding the mobility of the tubes may be obtained by nothing the influence of varying degrees of bladder distension.

(iii) If a significant degree of bladder filling is shown on any film, the bladder should be emptied, preferably by catheterisation, before the examination is concluded.

Accepted for publication July 1, 1955.