The capacity of transvaginal hydrolaparoscopy versus hysterosalpingography to diagnose tubal pathology in the work-up of subfertile women, a randomised clinical trial

Tros, Rachel; Kessel, M.A. van; Kuijk, Sander M. J. van; Oosterhuis, G. J. E.; Kuchenbecker, Walter K. H.; Kwee, Janet; Bongers, Marlies Y.; Mol, Ben W.; Koks, C. A.M.

doi:10.1016/j.ejogrb.2019.02.035

Cited by 13 publications

(5 citation statements)

References 19 publications

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“…When we look at the literature, we encountered a study comparing HSG with transvaginal hydrolaparoscopy (THL) in the diagnosis of tubal pathologies 18 . In this study, low-risk subfertile patients for tubal factor were included.…”

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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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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“…Although, HSG is associated with some disadvantages such as patient discomfort and exposure to radiation, it remains the gold-standard modality used for evaluating female infertility not only in developing countries including Sudan, but also in the United States and Europe ( Kaproth-Joslin and Dogra, 2013 , Tros et al, 2019 , Bukar et al, 2011 ). However, the HSG pattern of infertility in Sudanese patients remains not fully understood.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Toufig

Benameur

Twfieg

et al. 2020

Saudi Journal of Biological Sciences

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Background Infertility is a global health issue and hysterosalpingography (HSG) is a valuable radiological tool in infertility workup and remains a main modality for investigating female infertility. However, the HSG findings of infertility are not the same worldwide. This study aimed at evaluating the incidence of HSG findings in patients investigated for primary and secondary infertility, correlating these findings with their clinical data that reflect the infertility causes and comparing the findings with previous international studies. Methods A prospective descriptive study of 75 female patients referred, as cases of infertility, for HSG examination in Elrebat Hospital and Khartoum Advanced Diagnostic Center. HSG was performed in the first half of the cycle. The procedure and its complications, were explained to the patients and informed consents were obtained. Patients with active pelvic infection and active uterine or vaginal bleeding were excluded from the study. Using aseptic technique and with proper patient’s positioning, iodinated contrast was introduced into the cervix under fluoroscopic monitoring, to demonstrate the uterine cavity, fallopian tubes and free spillage into the peritoneal cavity. Personal data, clinical data and HSG findings were analyzed using SPSS version 23. Results The commonest age group seen was 26–36 years. Close incidences of primary and secondary infertility were detected. 52.7% had abnormal findings in HSG. Tubal pathology (42.7%) being the most common abnormality, followed by uterine and combined abnormalities. There was strong association between past medical history suggesting pelvic inflammatory disease (PID) or past history suggesting tubal blockage secondary to abdominopelvic surgery and tubal abnormalities. Conclusion HSG examinations revealed that the most common abnormality was tubal blockage possibly complicating PID and abdominopelvic surgeries. This reflects the HSG diagnostic and therapeutic role in the assessment of female infertility and the further needs for more preventive measures targeting the reduction of tubal pathologies in developing countries.

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“…Female infertility is often caused by occluded fallopian tubes, uterine abnormalities, or anovulation, with tubal pathologies accounting for 35-40% of these cases (5). Tubal function may be compromised by infections, surgical damage, or peritubal adhesions, which can result from inflammation, infection, previous surgeries, endometriosis, or ectopic pregnancies (6).…”

Section: Introductionmentioning

confidence: 99%

Determining The Frequency of Tubal Blockage in Infertility Patients Undergoing X-Rays Hysterosalpingography

Muhammad Taha Khalil,

Muhammad Imran Farid,

Amanullah Khan

et al. 2024

JHRR

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Background: Infertility is a complex global health issue, affecting millions of couples and necessitating detailed diagnostic evaluations. Among the various diagnostic procedures, X-ray hysterosalpingography (HSG) is pivotal for assessing tubal patency and identifying underlying causes of infertility. Objective: To determine the frequency of tubal blockages, particularly hydrosalpinx, in patients undergoing HSG at a tertiary care facility. Methods: This retrospective study was conducted at Allama Iqbal Teaching Hospital DG Khan from July 2022 to February 2024. A total of 210 female patients with consecutive infertility were included, excluding those with prior tubal surgeries. Data were extracted from medical records, focusing on demographics, clinical history, and HSG results. Results: The mean age of the participants was 32.35 ± 3.56 years, and the mean duration of infertility was 3.5 ± 2.1 years. Among the patients, 65% were nulliparous, and 35% were parous. Prior fertility treatments were reported in 75% of cases. Tubal blockage was identified in 45 patients (21.4%), with 25 (11.9%) exhibiting unilateral blockage and 20 (9.5%) bilateral blockage. Hydrosalpinx was the most common abnormality, occurring in 30 patients (66.7%). Conclusion: Tubal blockage, particularly hydrosalpinx, is a significant contributor to infertility, found in 21.4% of the study population. These findings emphasize the need for thorough tubal evaluations in infertility assessments.

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The capacity of transvaginal hydrolaparoscopy versus hysterosalpingography to diagnose tubal pathology in the work-up of subfertile women, a randomised clinical trial

Cited by 13 publications

References 19 publications

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

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

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Determining The Frequency of Tubal Blockage in Infertility Patients Undergoing X-Rays Hysterosalpingography

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