Comparative Evaluation of Tubal Patency by sterosalphingography and Laparoscopicchromopertubation

Abstract

Ninety women, who attended the infertility clinic, were evaluated. Hysterosalpingography and laparoscopy with chromopertubation was done in all these 90 patients for assessment of tubal patency. The study analysed the efficacy of HSG versus laparoscopy and compared the correlation between the two methods. The results of the study showed that in diagnosing a patent tube the correlation between HSG and laparoscopy is 75% for patent tubes and 73% for blocked tubes. The sensitivity of HSG in diagnosing tubal pathology was 81% while specificity is 71%. A high false positive rate of 29% in HSG was shown in this study.

Role of hysterosalpingography in evaluation of tubal factors and its comparison with sonosalpingography

“…13 Geetha V et al found in their study that, HSG detected 8 women with proximal tubal block, 24 women with a block at mid segment and 16 women with Fimbrial block. 14 Seal SL et al did a study in which Hydrosalpinx was detected in 6 women by SSG, in 5 women by HSG and in 8 women by laparoscopy, tuboovarian mass was detected in 4 women by SSG and in 2 women by laparoscopy, endometriosis was seen in 4 women in SSG and in 5 women by laparoscopy, peritubal adhesions was seen only by laparoscopy in 4 women, fibroid uterus was seen in 2 women by SSG and in 4 women by laparoscopy, whereas ovarian cysts and polycystic ovaries were seen in 6women by SSG, in 2 women by HSG and in 8 women by laparoscopy and concluded that pelvic pathologies were better detected by laparoscopy than by SSG and HSG and SSG detected more pelvic pathology than HSG. 15 The most advantageous screening infertility protocol necessitate methods that are diagnostically accurate, timely, cost-effective, reliable and minimally invasive.…”