A new evaluation score that uses salpingoscopy to reflect fallopian tube function in infertile women

Nakagawa, Koji; Inoue, Masayasu; Nishi, Yayoi; Sugiyama, Rie; Motoyama, Koji; Kuribayashi, Yasutaka; Akira, Shigeo; Sugiyama, Rikikazu

doi:10.1016/j.fertnstert.2010.03.012

Cited by 10 publications

(16 citation statements)

References 9 publications

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“…2 Distribution of endotubal mucosal grading in all infertile women of unrecognized pelvic inflammatory disease (PID) and tuberculosis [2]. With salpingoscopy, lesions of the infundibulum and ampullary region have been detected in patients for whom HSG and laparoscopy have shown apparently normal tubes [1]. Unless endotubal damage is severe, presence of ampullary mucosal adhesions is not incompatible with normal fertility, although it is reported to affect infertility negatively and increase risk of an ectopic pregnancy [5].…”

Section: Distribution Of Grades In 37 Infertile Womenmentioning

confidence: 99%

“…Similarly, Marchino et al [4] found salpingoscopy a better predictor of future fertility than laparoscopy and chromopertubation alone, not only for negative but also for positive predictability of fertility outcome. Nakagawa et al [1] concluded that the ability to evaluate inside the fallopian tube is informative for clinicians who deal with patients of infertility.…”

Section: Distribution Of Grades In 37 Infertile Womenmentioning

confidence: 99%

“…Fallopian tube plays a vital role in oocyte retrieval and transport, sperm transport and capacitation, fertilization, and embryo storage [1]. It is estimated that 25-35 % of infertile women have tubal damage.…”

Section: Introductionmentioning

confidence: 99%

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Salpingoscopy: An Adjuvant to Laparoscopy in Evaluation of Infertile Women

Mishra

Nawal

Aggarwal

et al. 2016

J Obstet Gynecol India

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Objective To evaluate salpingoscopic tubal mucosal grading and to find out correlation between laparoscopic external tubal appearance and salpingoscopic mucosal appearance.Design Prospective observational study. Intervention Salpingoscopy and laparoscopy. Materials and Methods Thirty-seven infertile women between 21 and 40 years of age group who attended infertility clinic at IKDRC, Ahmedabad, from May 2015 to August 2015, were enrolled in the study. Laparoscopic tubal morphology was classified as regular, convoluted and hydrosalpinx. Salpingoscopic findings were graded (Grade I-Grade V) according to Brosens classification. Results Laparoscopic appearance of tube was regular in 18 (48 %), convoluted in 17 (45.94 %), and hydrosalpinx in 2 (5.4 %) women. Salpingoscopic findings were graded as Grade I in 14 (37.83 %), Grade II in 10 (27.02 %), Grade III in 8 (21.62 %), Grade IV in 3 (8.10 %), and Grade V in 2 (5.4 %) women. Discordance between laparoscopic and salpingoscopic findings, i.e. regular appearance on laparoscopy and Grade III-Grade V appearance on salpingoscopy, was found in 38.88 % women. He is a believer of revolution through innovation. He has specialized in urogynaecology, minimally invasive surgeries, assisted reproductive techniques, high-risk pregnancy care and runs a stateof-the-art Genetic Lab and foetal medicine unit. Dr. Vineet Mishra has been the organizing chairperson of FOGSI urogynaecology committee from year 2011 to 2013. He has organized many prestigious CME programmes and has shared his knowledge as a guest lecturer across the country.

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Section: Distribution Of Grades In 37 Infertile Womenmentioning

confidence: 99%

Section: Distribution Of Grades In 37 Infertile Womenmentioning

confidence: 99%

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Salpingoscopy: An Adjuvant to Laparoscopy in Evaluation of Infertile Women

Mishra

Nawal

Aggarwal

et al. 2016

J Obstet Gynecol India

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show abstract

“…The fallopian tubes play an important role in sperm transport, oocyte capture and transport, fertilization, and early embryo development [60]. Abnormalities in any one of these functions cause defective transport of the oocyte and impaired fertilization, through alterations in tubal peristaltic or ciliary activity [61], which may affect one or both fallopian tubes.…”

Section: Tuboperitoneal Disordersmentioning

confidence: 99%

Potential Etiologies of Unexplained Infertility in Females

Galliano

Pellicer

2015

Unexplained Infertility

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“…The Role of Laparoscopy and Salpingoscopy in the Assessment of the Fallopian Tube 151 fimbriae to hold the tubal wall against the salpingoscope (Fig 2-a), while an infusion of distending saline water was instilled to open up the potential space of the tubal lumen (Nakagawa et al, 2010). A salpingoscope can observe mainly the ampullary portion of the fallopian tube (Fig 2-b).…”

Section: Procedures For Laparoscopy and Salpingoscopymentioning

confidence: 99%