Gynaecography: Introduction and definition

Introduction 

Gynaecography a term introduced by Stein involves the visualization of the uterus, tubes and ovaries by means of pneumoperitoneum plus Hysterosalpingography.

Pneumoperitoneum is gas or air trapped within the peritoneal cavity, but outside the lumen of the bowel. It is due to insufflations of gas (Carbon dioxide or nitrous oxide) during examination of organs inside the abdomen. While Hysterosalpingography is an x-ray examination of a woman’s uterus and fallopian tubes that uses special form of x-ray and contrast media.

Gynaecography technique permits an accurate diagnosis of obscure pelvic pathology and has been utilized successfully in many thousands of patients during the past twenty - five years by Dr. Stein and his group.

Gynaecography or pelvic pneumography is comprehensively defined as the term used for radiographic demonstration of the ovaries, fallopian tubes, uterus and uterine supporting ligaments by  insufflations of gas (negative contrast) into the peritoneal cavity.

Gynaecography is accepted as meaning gas – contrast, pelvic organ examination. This procedure outlines the uterus and ovaries in the centre of the gas filled peritoneal cavity.