Comparisons of Hysterosalpingography and Laparoscopy Results in the Diagnosis of Tubal Occlusion

Duraker, Rafet; Demır, Berfu; Dilbaz, Berna; Akkurt, Mehmet Özgür; Koçak, Müberra; Taşçı, Yasemin; Göktolga, Ümit

doi:10.5505/tjod.2011.89266

Cited by 7 publications

(5 citation statements)

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“…In our study tubal factor was Endometriosis was the second most common cause of infertility in our study seen in 22% of cases which was comparable to the studies of DURAKER et al study (28.4%) and Amogh et al study (32%). 12,13 Ovarian factor was detected in 18% of cases in Teleshere E et al study, 22% of cases in Chakraborti et al study and 20% of cases in our study. 14,15 Adhesions were detected in 8% of cases in our study which was little higher than that detected in Jayakrishnan et al study (5.5%) and Agarwal M et al study (6%).…”

Section: Discussionsupporting

confidence: 51%

Diagnostic laparoscopy in the evaluation of female factor infertility

Kumar¹,

Jogi²,

Anjanappa³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility is a global problem, with more than 70 million couples suffering every year. In India 10-15% of populations are suffering from infertility. All these people need accurate diagnosis and treatment. Among the many investigations available to evaluate the female partner of the infertile couples, laparoscopy is relatively recent and considered gold standard for pelvis evaluation. The objective of the study was to study the different causes of female factor infertility with diagnostic laparoscopy.Methods: This is a prospective study done on 50 infertile females who attended infertility clinic of department of OBG, ESIC MC and PGIMSR, Rajajinagar, Bengaluru from September 2013 to 2015. Both primary and secondary infertility females were included in this study. These patients underwent diagnostic laparoscopy in premenstrual phase (7, 8, 9th day of menstrual cycle) after conducting thorough clinical and biochemical examinations.Results: In the present study total 50 infertility cases were included. 41 cases had primary infertility and 9 cases had secondary infertility. Mean age was 29.88 years and mean duration of infertility was 5.9 years. Abnormal laparoscopic findings were detected in 41 (82%) cases. Tubal factor was seen in 14 (28%) cases, 11 (22%) cases had endometriosis, 10 (20%) cases had ovarian factor, 4 (8%) cases had pelvic adhesions and 2(4%) had fibroid uterus.Conclusions: Tubal factor is the commonest cause for infertility followed by endometriosis and ovarian factor. Diagnostic laparoscopy is the gold standard procedure to assess tubal status. Laparoscopy has a better role than ultrasonography in diagnosing endometriosis and pelvic adhesions.

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Section: Discussionsupporting

confidence: 51%

Diagnostic laparoscopy in the evaluation of female factor infertility

Kumar¹,

Jogi²,

Anjanappa³

2017

Int J Reprod Contracept Obstet Gynecol

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“…The results of our study suggest that HSG has a low error rate in patients with patent tubes, but L/S is warranted in patients with distal tubal pathologies. In the literature, Duraker and colleagues reported a mean age of 31.8 ± 5.7 and a mean duration of infertility of 30.7 ±3.7 months in infertile patients, with 64.7% primary infertile and 35.3% secondary infertile cases 12 . These results are consistent with the results of our study.…”

Section: Discussionmentioning

confidence: 99%

Hysterosalpingography: a potential alternative to laparoscopy in the evaluation of tubal obstruction in infertile patients?

et al. 2021

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Background: Evaluation of the fallopian tubes are important for infertile patients. The two most important diagnostic procedures used to evaluate tubal patency are hysterosalpingography and laparoscopy. Objectives: To asses the hysterosalpingography and laparoscopy results of patients diagnosed with infertility and investigate the diagnostic value of hysterosalpingography in patients with tubal factor infertility. Methods: The hysterosalpingography and laparoscopy results of 208 patients who presented to the Obstetrics and Gyne- cology Clinic at Dicle University, Faculty of Medicine between January 2014- January 2018 were retrospectively evaluated. Hysterosalpingography and laparoscopy results were compared with regard to the investigation of the presence of tubal obstruction and of the pelvic structures that could cause tubal obstruction. The specificity, sensitivity, positive, and negative predictive values of hysterosalpingography were computed. Results: The number of patients evaluated was 208. The ratio of primary infertile patients was 57.2% and 42.8% was secondary infertile. Hysterosalpingography was found to have a specificity of 64.6%, the sensitivity of 81.3%, the positive predictive value of 56.4%, and a negative predictive value of 86% in the determination of tubal obstruction. Conclusion: Patients with suspected tubal infertility can primarily be examined using hysterosalpingography in considera- tion of the invasive nature and the higher complication rate of laparoscopy. Keywords: Infertility; hysterosalpingography; laparoscopy; tubal factor.

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“…In a similar study conducted by Foroozanfard et al 8 found that 35 (56.5%) had bilateral tubal patency, 7(11.3%) had unilateral tubal patency, 3 (4.8%) had bilateral tubal patency. In a similar study conducted by RafetDuraker et al 12 found 38.80% of cases with unilateral tubal occlusion and 58.80% of the cases with bilateral tubal occlusion. Also in a similar study conducted by Ben W.J.…”

Section: Hsg Findingsmentioning

confidence: 82%

A Study Evaluation of Tubal Factors of Infertility by Hysterosalpingography and Diagnostic Laparoscopy

Khetmalas¹,

Kathaley²

2016

MVP J Med Sci

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Background: Reproductive endocrinologist, consider a couple to be infertile if the couple has not conceived after 12 months of contraceptive free intercourse if the female is under the age of 34 years. The incidence of infertility in any community varies between 10-15 %. Tubal occlusion is one of the most frequent causes of infertility in women (20-40 %). The evaluation of the fallopian tube is necessary to determine the management plan for infertility. The two most diagnostic procedures which are used for the evaluation of tubal patency are hysterosalpingography and laparoscopy 1 . Aims of this study were: To study the validity of hysterosalpingography, in detecting tubal factors in infertility, as compared to diagnostic laparoscopy. Material and Method: This descriptive study was conducted in the Department of Obstetrics and Gynecology in a tertiary health care center attached to a Medical College. A total number of 114 primary as well as secondary infertility patients were evaluated for tubal factors of infertility. All the infertility cases underwent HSG on day 8 th , 9 th and 10 th day of the menstrual cycles. Laparoscopic chromopertubation was done during proliferative phase of the next menstrual cycle. Statistical analysis was done using statistical package for social sciences ver.18. The result was expressed in mean and standard deviation. "Z" test for the difference between the two means were used. For qualitative data proportion and "Chi" test were used. For assessing the validity of HSG in diagnosing in tubal factors of infertility laparoscopy was used as a gold standard. For the purpose of this study, 95% confidence limit was chosen and corresponding p-value <0.05 was taken as statistically significant. Conclusion: In our study we found that Hysterosalpingography is simple, inexpensive, safe and rapid diagnostic modality for tubal patency then laparoscopy. Laparoscopy is considered the Gold Standard for diagnosing tubal and peritoneal disease. HSG and Laparoscopy are not alternative, but complimentary methods in the examination of tubal patency in case of infertility.

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Comparisons of Hysterosalpingography and Laparoscopy Results in the Diagnosis of Tubal Occlusion

Cited by 7 publications

References 8 publications

Diagnostic laparoscopy in the evaluation of female factor infertility

Diagnostic laparoscopy in the evaluation of female factor infertility

Hysterosalpingography: a potential alternative to laparoscopy in the evaluation of tubal obstruction in infertile patients?

A Study Evaluation of Tubal Factors of Infertility by Hysterosalpingography and Diagnostic Laparoscopy

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