Pattern of hysterosalpingographic findings in infertility in Port Harcourt

Nwankwo, NC; Akani, CI

doi:10.4314/wajr.v12i1.34200

Cited by 8 publications

(13 citation statements)

References 3 publications

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“…Bilateral tubal occlusion was seen in 11.2%. This is higher than the 4% previously reported in Port Harcourt[ 22 ] and the 4.5% reported in Sokoto[ 14 ] but close to the 18.7% reported in Nnewi. [ 20 ] Broeze et al .…”

Section: Discussioncontrasting

confidence: 48%

“…This study revealed a higher frequency of uterine cavity abnormalities (50.8%) which is similar to the 47% recorded in a similar study in Nnewi[ 20 ] but higher than the 26.8% recorded in a previous study in Port Harcourt. [ 22 ] The low frequency in the previous report in Port Harcourt could be attributed to the reasons mentioned above.…”

Section: Discussionmentioning

confidence: 89%

“…This is lower than the 44.2% reported previously in a similar study. [ 22 ] This difference could be attributed to the fact that the previous study was not conducted under fluoroscopy and some of the lesions could have been obliterated by contrast material. Similar studies in Kampala and Nnewi recorded 16.6 and 29.1% of normal findings, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Hysterosalpingographic (HSG) pattern of infertility in women of reproductive age

Onwuchekwa

Oriji

2017

J Hum Reprod Sci

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Background:Infertility is a complex disorder with significant medical, psychological and economic problems.Aims:The aim of the study is to evaluate the structural abnormalities of the uterus and fallopian tubes in infertile women as elucidated by hysterosalpingography.Setting and Design:A retrospective study, conducted at the Radiology and Obstetric and Gynaecologic Departments of a tertiary health care institution.Materials and Methods:Evaluation of all consecutive patients in whom hysterosalpingographic (HSG) was performed for infertility between July 2013 and June 2015 in the Department of Radiology. For the biodata, indications for the investigation and the HSG findings were obtained.Statistical Analysis:The data were analyzed using IBM Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) for Windows, version 20 software.Results:A total of 299 patients were evaluated. Of these, 250 were for infertility with primary and secondary infertility constituting 18.4 and 81.6%, respectively. Seventy percent of the cases for infertility had abnormalities on the HSG. Normal uterine cavity was found in 123 (49.2%) cases. Uterine filling defects were the most common uterine abnormality. Fallopian tube occlusion, loculated contrast material spillage and hydrosalpinx were more common on the right, and bilateral tubal occlusion was seen only in 11.2%. All cases of intravasation were associated with either unilateral or bilateral fallopian tube blockage or irregularity of the uterus.Conclusion:There was a high incidence of tubal disease in the women presenting with infertility. This was commonly as a result of infection and inflammatory process. This study showed that HSG is very vital in detecting birth canal pathologies; hence, the facility for this important procedure, especially fluoroscopy, should be made available in the health centres for adequate assessment of the women with infertility.

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Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Hysterosalpingographic (HSG) pattern of infertility in women of reproductive age

Onwuchekwa

Oriji

2017

J Hum Reprod Sci

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“…9,13,17,20 It was observed that cases of multiple uterine fibroids often require extra volume of contrast media during HSG procedures and this may not be unconnected with the bulky nature of their uterus. Fibroid nodules show as abnormal uterine cavity outlines and filling defects on HSG.…”

Section: Discussionmentioning

confidence: 99%

“…1,9,12,13,15,16 Hydrosalpinx was another major tubal abnormality, which was predominantly a unilateral finding(more on the right than left) in this study in keeping with Akinola et al findings but in contrast to other studies that reported predominance of bilateral hydrosalpinges. 9,12,17 Adetiloye identified increased inflammatory responses on the right side due to the presence of the appendix as a probable cause of predominant right sided hydrosalpinx. Previous unsafe abortion, pelvic inflammatory disease and puerperal sepsis constitute major sources of infection of the female reproductive tract.…”

Section: Discussionmentioning

confidence: 99%