Accuracy of hysterosalpingography and laparoscopic hydrotubation in diagnosis of tubal patency

Adelusi, B; Al-Nuaim, Lulu; Makanjuola, Dorothy; Khashoggi, Tariq Y.; Nn, Chowdhury; Kangave, Dustan

doi:10.1016/s0015-0282(16)57540-2

Cited by 36 publications

(20 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Three patients (9.37%) were of hydrosalpinx. The incidence of hydrosalpinx of our study is very much similar with Nabil El tabbakh 13 i.e. 8.7% and Duignan 7 studied 5.6% but higher than observed (3.8%) by Porpora and Gomel.…”

Section: Discussionsupporting

confidence: 86%

Laparoscopic Evaluation and Management of Adnexal Pathology Among Women Attending Tertiary Care Centre, Maharashtra

Pawar¹,

Patil²

2014

jemds

View full text Add to dashboard Cite

BACKGROUND:The Laparoscope is a precise diagnostic tool. Laparoscopy represents a considerable advance in the early and accurate diagnosis and management of pelvic pathologic conditions. Laparoscopy now provides the gynecologist valuable information necessary for the choice of treatment in case of adnexal pathology. The present study carried out with the objective to evaluate the role of laparoscopy in diagnosis of adnexal pathology and management of it. METHODOLOGY: The present prospective study carried among women attending outpatient department of gynecology having Adnexal pathology at tertiary care center located in Maharashtra over the period of two years. The data analyzed for frequency distributions showing number and percentages were generated for each identified variables. RESULTS: Total 32 laparoscopies were performed in patients who attended the gynecology department over a period of 2 years. The majority having suspected ectopic pregnancy (37.5%) & ovarian cyst (37.5%).The majority of patients came with history of abdominal pain (62.5%) and lump in abdomen (21.87%). Most common laparoscopic procedure carried out for tubal ectopic pregnancies in study was salpingectomy (55.50%) and Cystectomy (53%) was done for ovarian mass. Difficulties encountered during laparoscopic procedure were removal of large adnexal masses (3.1%) and misplaced IUCD (3.1%).The complication observed was drainage of cyst (6.2%)during intraoperative while pain in abdomen (25%), vomiting (9%) post-operative procedure of laparoscopy. CONCLUSION: The study concludes for evaluation and management of adnexal pathology laparoscopy should be considered the method of choice as it offers the advantages of fewer postoperative adhesions, reduced pain, technically feasible, safe, and better cosmetic results. KEYWORDS: Women, Laparoscopy, Adnexal Pathology, Management.INTRODUCTION: "Laparoscopy is a most effective technique for bridging the gap between clinical evaluation and major surgical explorations. The Laparoscope is a precise diagnostic tool which should have a much more prominent place in gynecology than it has at the present time with modern optical systems, high intensity fiber optic cold light sources and convenient means of creating and maintaining pneumo peritoneum, the instrument represent as precise, safe and acceptable means of evaluating and managing gynecology patients today.The evolving laparoscopic technology has enabled endoscopic management of most of adnexal masses 1 . Laparoscopy gives precise information about uterus, fallopian tubes, ovaries and broad ligament structures that cannot be offered by any other clinical examination or investigations. It helps in easier evaluation and management of abdominal pain and pelvic pathology i.e. pelvic masses or adnexal pathology 2 . Laparoscopy helps in successful management of patients with adnexal pathology.

show abstract

Section: Discussionsupporting

confidence: 86%

Laparoscopic Evaluation and Management of Adnexal Pathology Among Women Attending Tertiary Care Centre, Maharashtra

Pawar¹,

Patil²

2014

jemds

View full text Add to dashboard Cite

show abstract

“…Prior to in vitro fertilization (IVF), considerable research interest revolved around the nature of proximal tubal obstruction observed on HSG (5,11). Sulak et al.…”

Section: Discussionmentioning

confidence: 99%

Tubal patency during the menstrual cycle and during treatment with hormonal contraceptives: a pilot study in women

et al. 2016

View full text Add to dashboard Cite

BackgroundHysterosalpingram (HSG) evaluation of tubal patency is typically performed in the follicular phase, but data to support this timing are lacking.PurposeTo determine whether menstrual cycle phase or hormonal treatments affect observation of tubal patency during HSG.Material and MethodsTen participants underwent repeated HSG examinations: during the follicular and luteal phase of a natural menstrual cycle; 30 days following continuous administration of a combined oral contraceptive (COC); and 30 days after an intramuscular injection of depo medroxyprogesterone (DMPA) acetate. Participants with tubal blockade following DMPA had a fifth HSG 30 days following a second course of COCs. The primary outcome was tubal patency.ResultsAll 10 participants demonstrated bilateral tubal patency (BTP) on at least one HSG examination during the study. One participant showed bilateral functional occlusion (FO) during the follicular phase examination, but BTP with the luteal phase, COC cycle, and DMPA exams. One participant with BTP discontinued participation and nine completed the COC HSG exam with BTP in seven, and one each with bilateral or unilateral FO. Seven participants completed the DMPA HSG with BTP in six and unilateral FO in one; BTP was seen in the final HSG after restarting the COC.ConclusionThis pilot study supports the luteal phase of natural cycles as the optimum time for evaluation of tubal patency. The occurrence of functional occlusion of the fallopian tube on HSG examination performed during the follicular phase and following contraceptive steroid treatment supports a role of hormonal action on the utero-tubal junction.

show abstract

“…The procedures widely in use for clinical evaluation of uterus and oviduct, e.g. hysterosalpingography (HSG), laparoscopy with chromopertubation (LSCP) and hystero-ultrasonography (HSU), are based on the infusion of liquid media into the uterus, using pressure to force their passage through the Fallopian tubes into the abdominal cavity and, hence, mainly assess mechanical patency (Adelusi et al, 1995;Karande et al, 1995). That mechanical patency does not necessarily mean functional integrity has rarely been appreciated.…”

Section: Introductionmentioning

confidence: 99%

Sperm transport in the human female genital tract and its modulation by oxytocin as assessed by hysterosalpingoscintigraphy, hysterotonography, electrohysterography and Doppler sonography

Wildt

Kissler²,

Licht³

et al. 1998

Human Reproduction Update

138

View full text Add to dashboard Cite

The transport function of the uterus and oviducts and its modulation by oxytocin has been examined using hysterosalpingoscintigraphy, recording of intrauterine pressure, electrohysterography and Doppler sonography of the Fallopian tubes. After application to the posterior vaginal fornix, a rapid (within minutes) uptake of the labelled particles into the uterus was observed during the follicular and during the luteal phase of the cycle in all patients. Transport into the oviducts, however, could only be demonstrated during the follicular phase. Transport was directed predominantly into the tube ipsilateral to the ovary bearing the dominant follicle; the contralateral oviduct appeared to be functionally closed. The proportion of patients exhibiting ipsilateral transport did increase concomitant with the increase of the diameter of the dominant follicle. That ipsilateral transport has biological significance is suggested by the observation that the pregnancy rate following spontaneous intercourse or insemination was significantly higher in those women in whom ipsilateral transport could be demonstrated than in those who failed to exhibit lateralization. Oxytocin administration was followed by a dramatic increase in the amount of material transported to the ipsilateral tube, as demonstrated by radionuclide imaging and by Doppler sonography following instillation of ultrasound contrast medium. Continuous recording of intrauterine pressure before and after oxytocin administration did show an increase in basal tonus and amplitude of contractions and a reversal of the pressure gradient from a fundo-cervical to a cervico-fundal direction. These actions of oxytocin were accompanied by an increase in amplitude of potentials recorded by electrohysterography. These data support the view that uterus and Fallopian tubes represent a functional unit that is acting as a peristaltic pump and that the increasing activity of this pump during the follicular phase of the menstrual cycle is reflected by an increased transport into the oviduct ipsilateral to the ovary bearing the dominant follicle. In addition, they strongly suggest a critical role of oxytocin in this process. Failure of this mechanism appears to be a cause of subfertility or infertility, as indicated by the low pregnancy rate following intrauterine insemination or normal intercourse in the presence of patent Fallopian tubes. It may be regarded as a new nosological entity for which we propose the term tubal transport disorder (TTD). Since pregnancy rate of such patients is normal when treated with in-vitro fertilization (IVF), hysterosalpingoscintigraphy seems to be useful for the choice of treatment modalities in patients with patent Fallopian tubes suffering from infertility.

show abstract

Accuracy of hysterosalpingography and laparoscopic hydrotubation in diagnosis of tubal patency

Cited by 36 publications

References 9 publications

Laparoscopic Evaluation and Management of Adnexal Pathology Among Women Attending Tertiary Care Centre, Maharashtra

Laparoscopic Evaluation and Management of Adnexal Pathology Among Women Attending Tertiary Care Centre, Maharashtra

Tubal patency during the menstrual cycle and during treatment with hormonal contraceptives: a pilot study in women

Sperm transport in the human female genital tract and its modulation by oxytocin as assessed by hysterosalpingoscintigraphy, hysterotonography, electrohysterography and Doppler sonography

Contact Info

Product

Resources

About