Can hysterolaparoscopic mediated chromopertubation obviate the need for hysterosalpingography for proximal tubal blockage?: An experience at a single tertiary care center

Agrawal, Namita; Fayyaz, S.

doi:10.1016/j.jogoh.2018.04.011

Cited by 4 publications

(8 citation statements)

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“…We found a sensitivity of 100% and a specificity of 84.4% for the detection of tubal patency on HSG. Similarly, Agrawal et al [18] found the sensitivity and specificity of HSG to be 100% and 52.31% respectively. On comparing the same parameters, Vaid et al found a sensitivity of 80.6% and specificity of 81.5% for HSG.…”

Section: Discussionmentioning

confidence: 87%

The Diagnostic Value of Hysterosalpingography and Hysterolaparoscopy for Evaluating Uterine Cavity and Tubal Patency in Infertile Patients

Panda¹,

Kalpana²

2021

Cureus

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Background and objective Hysterosalpingography (HSG) is a common radiologic modality employed for the initial workup of female infertile patients to evaluate for tubal patency or any gross intrauterine pathology. HSG is a relatively cheap and easily available outpatient procedure but bears the risk of radiation exposure. The purpose of the study was to compare the diagnostic value of HSG with that of diagnostic hysterolaparoscopy in infertile women and to evaluate their role in the diagnosis and management of infertility. Methodology This study was carried out from February 2018 to January 2019. All women attending our outpatient department (OPD) for the treatment of infertility who were aged between 20-40 years were included in the study. Those with acute vaginal and cervical infection and those having an allergic reaction to the dye used in HSG were excluded from the study. Known cases of pelvic inflammatory disease and those who achieved pregnancy before the performance of hysteroscopy were also excluded from the study. Results A total of 172 women with primary or secondary infertility were enrolled in the study. Out of these, 13 women became pregnant, and two were lost to follow-up and were excluded from our study. Thus, a total of 157 infertile women were analysed. The agreement between HSG and hysteroscopy was 71.3% for the evaluation of the uterine cavity, and this was considered a fair strength of agreement between the procedures (k value=0.302). Conclusion Compared to HSG, the incidental findings detected by hysteroscopy amounted to 19.14%. Our study results depict the advantage of hysterolaparoscopy over HSG. Although the sensitivity of HSG is as good as that of diagnostic hysterolaparoscopy for the detection of tubal patency, a significant number of important incidental findings can be missed by it. Hence, diagnostic hysterolaparoscopy should be offered as the first-line modality for the evaluation of infertility wherever the procedure is available.

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Section: Discussionmentioning

confidence: 87%

The Diagnostic Value of Hysterosalpingography and Hysterolaparoscopy for Evaluating Uterine Cavity and Tubal Patency in Infertile Patients

Panda¹,

Kalpana²

2021

Cureus

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“…In anatomical causes such as ovarian cyst/ tumor, tubal damage, endometriosis, and congenital (septate uterus) /acquired (myomas and synechiae) uterine anomalies etc, surgical intervention is important to improve the fertility outcome. [3][4][5] To localize the anatomical cusses, noninvasive pelvic ultrasonography is commonly performed imaging. An additional invasive investigation such as laparoscopy and hysteroscopy may be performed according to the clinical presentation and the results of the preliminary tests.…”

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confidence: 99%

“…An additional invasive investigation such as laparoscopy and hysteroscopy may be performed according to the clinical presentation and the results of the preliminary tests. 1,3,[4][5][6][7][8][9][10][11] The published literature as well as our experience, illustrate that routine examination and pelvic ultrasonography is not enough to evaluate pelvic pathologies of infertile women since subtle changes in the form of small polyps, adhesions, and sub-endometrial fibroid seedling, which influence fertility, can be missed. These subtle changes are better picked up on magnification with endoscopic procedures.…”

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confidence: 99%

“…These subtle changes are better picked up on magnification with endoscopic procedures. [4][5][6][12][13][14] The endoscopic methods such as laparoscopy and hysteroscopy are commonly used in an evaluation of abdomen and pelvic cause's of infertility. These endoscopic methods (hysterolaparoscopy) are diagnostic as well as therapeutic for pelvic and abdominal pathologies in the same sitting .…”

mentioning

confidence: 99%

“…These endoscopic methods (hysterolaparoscopy) are diagnostic as well as therapeutic for pelvic and abdominal pathologies in the same sitting . [4][5][6] The hysterolaparoscopy is an invasive and relatively costlier investigation and we want to investigate the impact of age, body mass index, duration of infertility, Rhesus Factor, menstrual history and hemoglobin level in infertile woman in fertility outcome who are underwent for hysterolaparoscopy. In my best knowledge in the described literature, no single study had mentioned the impact of accessory parameters in success rate of the hysterolaparoscopy in term of achieving pregnancy after treatment.…”

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confidence: 99%

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Do accessory parameters affect the outcome of the endoscopic procedures in female infertile patients?: an experience at a single tertiary care center

Agrawal

Yadav

Fayyaz

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: In modern era, endoscopic methods are commonly used in evaluation of female infertility. Hysterolaparoscopy is such a real time theranostic modality for anatomical causes of the infertility. The objective of this study was to evaluate the effect of accessory parameters (Age, Body mass index, duration of infertility, Rhesus factor, menstruation history and hemoglobin) on success rate of endoscopic procedures in terms of achieving pregnancy.Methods: A total 157 female infertile patients (Mean± standard deviation 27.72±3.82 years) were recruited in present study. During initial assessment detailed history was taken and hysterolaparoscopy was performed. The observed structural abnormalities on hysterolaparoscopy during diagnostic work up were tackled at same time if possible. After procedure, patients were counselled for regular sexual activity. The follow-up of all patients was done for 12 months.Results: A total 157 female infertile patients were recruited and divided into primary 93 (59.2%) and secondary infertile 64 (41.74%) patients on basis of obstetric history. The average age, BMI, hemoglobin and duration of infertility were 27.7years, 21.8 kg/m2, 12.3 gm and 3.9 years respectively. Out of 157 patients, anatomical abnormalities were detected in 125 patients during Hysterolaparoscopy and distributed in 77/93 (82.8%) primary and 48/64 (75%) secondary infertile patients. Of 125 patients with abnormal hysterolaparoscopic findings, 121 underwent active intervention and on follow up, 43 patients were conceived. We found that age; BMI, Rhesus factor, menstruation history and duration of the infertility were not correlated with fertility outcome while hemoglobin level was significantly correlated with conception rate.Conclusions: Authors concluded that outcome of the hysterolaparoscopy in female infertile patients is significantly depends upon hemoglobin levels, however outcome is irrelevant to age, duration of infertility, Rhesus factor and body mass index.

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Hysterolaparoscopy: A Gold Standard for Diagnosing and Treating Infertility and Benign Uterine Pathology

Varlas

Rhazi

Cloțea

et al. 2021

JCM

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Background: Combined hysteroscopy and laparoscopy is a valuable method for diagnosing and treating infertility and benign uterine pathology. Both procedures are minimally invasive, reliable, and safe, with a low complication rate. Aim: In this review, we expose the efficiency and safety of hysterolaparoscopy in the management of infertility and other benign uterine pathologies. Method: We performed a systematic literature review on several databases: PubMed®/MEDLINE, PMC, Crossref.org, and Web of Science in the last 10 years. Inclusion criteria: Women of reproductive age with primary or secondary infertility and/or benign uterine pathology. Exclusion criteria: pre-puberty, menopause, couple with male infertility. Conclusion: Hysterolaparoscopy is a useful tool to assess infertility and simultaneously diagnose and treat pelvic and uterine lesions.

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Can hysterolaparoscopic mediated chromopertubation obviate the need for hysterosalpingography for proximal tubal blockage?: An experience at a single tertiary care center

Cited by 4 publications

References 12 publications

The Diagnostic Value of Hysterosalpingography and Hysterolaparoscopy for Evaluating Uterine Cavity and Tubal Patency in Infertile Patients

The Diagnostic Value of Hysterosalpingography and Hysterolaparoscopy for Evaluating Uterine Cavity and Tubal Patency in Infertile Patients

Do accessory parameters affect the outcome of the endoscopic procedures in female infertile patients?: an experience at a single tertiary care center

Hysterolaparoscopy: A Gold Standard for Diagnosing and Treating Infertility and Benign Uterine Pathology

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