Should Diagnostic Hysteroscopy be a Routine Procedure During Diagnostic Laparoscopy in Infertile Women?

Godinjak, Zulfo; Idrizbegović, Edin

doi:10.17305/bjbms.2008.2996

Cited by 45 publications

(50 citation statements)

References 12 publications

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“…Our results at laparoscopy and dye studies had shown bilateral tubal patency in 87 (92.5 %), bilateral tubal block in 4 (4.3 %) and unilateral tubal block in 3 (3.2 %) of infertile patients, excluding those who had come for recanalization. In one study at laparoscopy, bilateral tubal patency was demonstrated in 86.67 %, bilateral tubal block in 5 % and unilateral block in 8.33 % of patients [9]. In our study, pelvic pathology by laparoscopy was confirmed in 51.7 % of our cases, which was similar to other studies [16,17].…”

Section: Discussionsupporting

confidence: 91%

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Hysterolaparoscopy in the Evaluation and Management of Female Infertility

Kabadi¹,

Harsha

2016

J Obstet Gynecol India

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Objective To study the role of hysterolaparoscopy in the evaluation and management of female infertility.Materials and Methods A retrospective study of the 94 case files of all the patients who underwent diagnostic hysterolaparoscopy for infertility between January 2014 to June 2015 in the department of Obstetrics and Gynecology, Karnataka Institute of Medical Sciences, Hubli. These infertile women were confirmed to have normal ovulatory cycles, hormonal assays and seminogram report. Dye studies as well as inspection for abnormal pelvic and intrauterine pathology and necessary therapeutic interventions were done during the procedure. Abnormal pelvic and intrauterine pathology by hysterolaparoscopy were categorized. Results Out of 94 cases, 53.1 % patients had primary, 17.1 % patients had secondary infertility, and 29.8 % came for tubal recanalization. As a whole pelvic pathology was confirmed in 51.7 % and intrauterine pathology in 18.1 % patients by hysterolaparoscopy. The most common laparoscopic abnormality detected was ovarian pathology (20.8 %), followed by pelvic inflammatory disease 123(17.5 %). Tubal block comprised 7.7 % whereas distorted uterus by fibroid in 6.6 % and pelvic endometriosis in 5.4 %. In hysteroscopy, the incidence of uterine anomaly was 13 (13.8 %). Septate uterus is the most common with a mean incidence of approximately 7 (53.8 %). Conclusion Diagnostic hysterolaparoscopy is an effective diagnostic and therapeutic modality for certain significant and correctable abnormalities in pelvis, tubes and uterus which are missed by other imaging modalities.

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Section: Discussionsupporting

confidence: 91%

“…Septate uterus is the most common uterine anomaly with a mean incidence of approximately 37.15 % followed by bicornuate uterus approximately 26.13 % and arcuate uterus approximately 21.26 % of uterine anomaly in infertile couple [9]. Our study shows that the incidence of uterine anomaly was 13 (13.8 %).…”

Section: Discussionmentioning

confidence: 49%

Hysterolaparoscopy in the Evaluation and Management of Female Infertility

Kabadi¹,

Harsha

2016

J Obstet Gynecol India

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“…9 In our study, pelvic pathology by laparo-scopy was confirmed in 59.5% of our cases, which was similar to other studies. 16,17 Thus, diagnostic laparoscopy is the standard means of diagnosing the tubal pathology, peritoneal factors, ovarian factors and uterine factors as cause of infertility.…”

supporting

confidence: 92%

“…9 Present study shows that the incidence of uterine anomaly was 54 (11.1%). Septate uterus is the most common anomaly with a mean incidence of approximately 37 (67.8%).…”

Section: -8mentioning

confidence: 61%

Hysterolaparoscopy in the evaluation and management of female infertility

Antaratani

Harsha

2017

Int J Reprod Contracept Obstet Gynecol

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Background: To study the role of hysterolaparoscopy in the evaluation and management of female infertility.Methods: A retrospective study of the 677 case files of all the patients who underwent diagnostic hysterolaparoscopy for infertility between January 2011 to December 2016 at Karnataka Institute of Medical Sciences, Hubli and Sushruta Multispeciality hospital, Hubli. These infertile women were confirmed to have normal ovulatory cycles, hormonal assays and seminogram report. Dye studies as well as inspection for abnormal pelvic and intrauterine pathology and necessary therapeutic interven-tions were done during the procedure. Abnormal pelvic and intrauterine pathology by hysterolaparoscopy were categorized.Results: Out of 677 cases, 74% patients had primary, 26% patients had secondary infertility. As a whole pelvic pathology was confirmed in 59.5% and intrauterine pathology in 22.3% patients by hysteroscopy. The most common laparoscopic abnormality detected was Polycystic ovaries (27.1%), followed by pelvic adhesions (18.7%). Tubal block comprised 8.1% whereas distorted uterus by fibroid in 6.2% and pelvic endometriosis in 8.7%. In hysteroscopy, the incidence of uterine anomaly was 54 (7.9%). Septate uterus is the most common with a mean incidence of approximately 37 (67.8%).Conclusions: Diagnostic hysterolaparoscopy is an effective diagnostic and therapeutic modality for certain significant and correctable abnormalities in pelvis, tubes and uterus which are missed by other imaging modalities.

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“…1 It is present in 1-10% of unselected population, 2-8% of infertile women and 5-10 % of women with the history of miscarriage. [2][3][4][5][6][7][8][9][10][11][12] The wide range of difference in the prevalence rate is presumably because of use of different classification systems and non-uniform diagnostic tests. 13 Normal development of the female reproductive tract involves a series of complex processes which includes differentiation, migration, fusion and canalization of the Mullerian system.…”

Section: Introductionmentioning

confidence: 99%

Obstetrical outcome in women with congenital uterine anomalies

Liston

Gomathy

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Congenital uterine anomalies are associated with higher incidence of reproductive failure and adverse obstetrical outcomes. The association of congenital anomalies and early pregnancy loss has been well established but its adverse effect on late pregnancy in from of malpresentation, preterm deliveries has not yet been elaborated. Thus, this study aims to summarize the clinical characteristics and perinatal outcome of pregnancy in women with congenital uterine anomalies.Methods: This is a retrospective study evaluating the obstetric outcomes of 32 patients with congenital abnormalities.Results: Among 32 women with uterine anomalies 6 delivered preterm, 16 malpresentations were seen (50%).Infants born to mothers having congenital uterine anomalies were of lower birth weight. Therefore, it can be concluded the women with congenital uterine anomalies had a higher risk of malpresentation and preterm deliveries. They also had a higher incidence of small for gestational age neonates.Conclusions: Presence of congenital uterine anomalies has adverse effect on obstetrical outcome. This knowledge warrants the need for a larger case control study to extrapolate these findings to the general population and also to recommend the need for universal Prenatal Screening for uterine anomalies so as to improve the obstetrical outcome in patients with uterine anomalies.

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Should Diagnostic Hysteroscopy be a Routine Procedure During Diagnostic Laparoscopy in Infertile Women?

Cited by 45 publications

References 12 publications

Hysterolaparoscopy in the Evaluation and Management of Female Infertility

Hysterolaparoscopy in the Evaluation and Management of Female Infertility

Hysterolaparoscopy in the evaluation and management of female infertility

Obstetrical outcome in women with congenital uterine anomalies

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