Yıl 2020, Cilt 4 , Sayı 4, Sayfalar 289 - 292 2020-04-01

İntrauterin inseminasyon esnasında mesane doluluğunun gebelik oranlarına etkisi: Retrospektif kohort çalışma
The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study

Zeyneb BAKACAK [1]


Amaç: In vitro fertilizasyon (IVF) sikluslarında embriyo transferleri uterus kontraksiyonlarını uyarmamak için mümkün mertebe servikse cerrahi alet enstrümentasyonundan kaçınmaya dikkat edilerek ve dolu mesane ile yapılır. Çalışmamızda da intrauterin inseminasyon uygulaması esnasında da mesane doluluğunun serviko-uterin aksı düzeltip spermlerin uterin kaviteye erişimini kolaylaştırarak gebelik oranlarını artırıp artırmadığını araştırmayı amaçladık.
Yöntemler: Bu çalışmaya histerosalpingografisinde en az bir tüpünün açık olduğu tespit edilip en az bir yıllık infertilitesi olan ve intrauterin inseminasyon tedavisi yapılan 61 hasta dahil edilmiştir. Hastaların demografik özellikleri, folikülometri ölçümleri, spermiogram parametreleri, uygulama esnasındaki abdominal ultrasonografide mesane doluluk durumu ve uygulama sonrası 14. günde beta hGC kaydedildi.
Bulgular: İki grup arasında demografik özellikler, folikülometri ölçümleri açısından istatistiksel olarak anlamlı fark yoktu. Gebelik oranı mesane grubunda %20, boş mesane grubunda %12 olarak bulundu. Tenakulum uygulama oranı boş mesane grubunda dolu mesane grubundan anlamlı düzeyde yüksek bulundu (P<0,001). Gebelik oranı dolu mesane grubunda daha yüksek olmasına rağmen, fark anlamlı bir seviyeye ulaşmadı (P=0,342).
Sonuç: Dolu mesane, spermlerin uterin boşluğuna erişimini kolaylaştırıp gebe kalma oranını artırabilir. Daha iyi sonuçlar elde etmek için daha geniş serilerle yapılacak prospektif randomize çalışmaların gerekli olduğuna inanıyoruz.
Aim: Embryo transfer in in-vitro fertilization (IVF) cycles is performed with a full bladder, being careful to avoid surgical instrumentation to the cervix as much as possible, so that uterine contractions are not stimulated. The aim of this study was to investigate whether a full bladder during the application of intrauterine insemination increased pregnancy rates by correcting the cervico-uterine axis, thereby enabling easier access of sperm to the uterine cavity.
Methods: This study included 61 patients undergoing IUI procedures, which were performed on patients with infertility since at least one year and those with at least one open oviduct as seen on hysterosalpingography (HSG). Patients’ demographic data, folliculometry measurements, spermiogram parameters, bladder fullness status on abdominal ultrasonography during the application, and beta hGC levels on the 14th day following the application were recorded from the patient files.
Results: No statistically significant differences were determined between the two groups in terms of demographic data and folliculometry measurements. The conception rate was 20% in the full bladder group, and 12% in the empty bladder group. Tenaculum application was at a statistically significantly higher rate in the empty bladder group than in the full bladder group (P<0.001). The conception rate was insignificantly higher in the full bladder group (P=0.342).
Conclusion: A full bladder facilitates sperm access to the uterine cavity and may increase conception rates. There is a need for further prospective randomized studies with a larger series to obtain better results.
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Birincil Dil en
Konular Kadın Hastalıkları ve Doğum
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0002-6746-0939
Yazar: Zeyneb BAKACAK (Sorumlu Yazar)
Kurum: Özel Kahramanmaraş Vatan Hastanesi
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Nisan 2020

Bibtex @araştırma makalesi { josam703914, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {289 - 292}, doi = {10.28982/josam.703914}, title = {The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study}, key = {cite}, author = {Bakacak, Zeyneb} }
APA Bakacak, Z . (2020). The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study . Journal of Surgery and Medicine , 4 (4) , 289-292 . DOI: 10.28982/josam.703914
MLA Bakacak, Z . "The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study" . Journal of Surgery and Medicine 4 (2020 ): 289-292 <http://jsurgmed.com/tr/pub/issue/53710/703914>
Chicago Bakacak, Z . "The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study". Journal of Surgery and Medicine 4 (2020 ): 289-292
RIS TY - JOUR T1 - The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study AU - Zeyneb Bakacak Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.703914 DO - 10.28982/josam.703914 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 289 EP - 292 VL - 4 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.703914 UR - https://doi.org/10.28982/josam.703914 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study %A Zeyneb Bakacak %T The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 4 %R doi: 10.28982/josam.703914 %U 10.28982/josam.703914
ISNAD Bakacak, Zeyneb . "The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study". Journal of Surgery and Medicine 4 / 4 (Nisan 2020): 289-292 . https://doi.org/10.28982/josam.703914
AMA Bakacak Z . The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study. J Surg Med. 2020; 4(4): 289-292.
Vancouver Bakacak Z . The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study. Journal of Surgery and Medicine. 2020; 4(4): 289-292.
IEEE Z. Bakacak , "The effect on conception rates of bladder fullness during intrauterine insemination: A retrospective cohort study", Journal of Surgery and Medicine, c. 4, sayı. 4, ss. 289-292, Nis. 2020, doi:10.28982/josam.703914