The value of hysterosalpingography in the diagnosis of tubal pathology among infertile patients

Tvarijonavičienė, Eglė; Nadišauskienė, Rūta Jolanta

doi:10.3390/medicina44060057

Cited by 23 publications

(16 citation statements)

References 26 publications

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“…In a study by Tvarijonaviciene et al, sensitivity of 84.1% and specificity of 59.1%, were calculated when tubal occlusion was defined as any abnormality of tubal patency. When definition of tubal occlusion was limited to two-sided occlusion, the sensitivity and specificity were 89.5% and 90% respectively (13). Diagnostic value of HSG and laparoscopy in hundred and two infertile women was evaluated by Vasiljevic et al and the concordant findings by HSG and laparoscopy in unilateral tubal blockage were found in 61.5% of cases, and in bilateral tubal blockage in 70.4% of women.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic Value of Hysterosalpingography and Laparoscopy for Tubal Patency in Infertile Women

Foroozanfard¹,

Sadat²

2013

Nurs Midwifery Stud

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A B S T R A C TBackground: Tubal occlusion is one of the most frequent causes of infertility in women. The evaluation of the fallopian tube is necessary to determine the management plan for infertility. The two most important diagnostic procedures which are used for the evaluation of tubal patency are hysterosalpingography (HSG) and laparoscopy. Objectives: The aim of this study was to compare HSG and laparoscopic findings in the diagnosis of tubal patency. Patients and Methods:In a prospective study sixty two infertile cases were examined by HSG as part of their routine infertility evaluation, three months after HSG, tubs status were assessed by laparoscopy as a gold standard method. The findings of HSG and laparoscopy were compared. The Laparoscopy findings were used as reference standard to calculate sensitivity, specificity, positive and negative predictive values for unilateral and bilateral no tubal patency. Results: The sensitivity and specificity of HSG on bilateral tubal patency or no bilateral tubal patency were 92.1% and 85.7% respectively. The positive and negative predictive values were 97.2% and 66.7%, and the accuracy was 91.1%. The sensitivity and specificity of HSG for evaluation of the bilateral tubal patency and unilateral or bilateral no tubal patency were 77.8% and 52.94%, the positive and negative predictive values were 81.4% and 47.4% respectively, and the accuracy was 71%. Conclusion: HSG is considered to have a high sensitivity and specificity. HSG and laparoscopy are not alternative, but are the complementary methods in the examination of no tubal patency.

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Section: Discussionmentioning

confidence: 99%

“…During the study, sixty two patients seen at our center underwent HSG as part of the evaluation or treatment of infertility and all were included in this study. Laparoscopy was performed three month after HSG (13). The HSG was performed by radiologist.…”

Section: Methodsmentioning

confidence: 99%

Diagnostic Value of Hysterosalpingography and Laparoscopy for Tubal Patency in Infertile Women

Foroozanfard¹,

Sadat²

2013

Nurs Midwifery Stud

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“…The diagnostic accuracy of HSG has been examined by several investigations over more than 40 years . Although the sensitivity and specificity of HSG for detection of tubal occlusion has been found to be satisfactory, it is less accurate for detecting other pelvic pathologies, such as adhesions and endometriosis . With the HSG findings, a rough decision for the management strategy of an infertile couple is plausible.…”

Section: Introductionmentioning

confidence: 99%

“…1,[6][7][8][9][10][11][12][13] Although the sensitivity and specificity of HSG for detection of tubal occlusion has been found to be satisfactory, it is less accurate for detecting other pelvic pathologies, such as adhesions and endometriosis. 1,[7][8][9]13 With the HSG findings, a rough decision for the management strategy of an infertile couple is plausible. While bilateral tubal patency (TP) and unilateral tubal occlusion (UTO) indicate follow-up or intrauterine insemination (IUI), bilateral tubal occlusion (BTO) indicates treatment with in vitro fertilization (IVF).…”

Section: Introductionmentioning

confidence: 99%

Infertility work‐up: To what degree does laparoscopy change the management strategy based on hysterosalpingography findings?

Berker

Şükür

Aytaç

et al. 2015

J of Obstet and Gynaecol

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“…Both hysterosalpingogram (HSG) and laparoscopy and dye test can be utilized in the evaluation of tubal factor infertility. However, laparoscopy remains the gold standard for detection of tuboperitoneal pathologies as it has a better diagnostic yield than HSG (Tvarijonaviciene and Nadisauskiene, 2008). Diagnostic laparoscopy enables inspection of the peritoneal cavity, evaluation of tubal patency as well as examination of the adnexal structures.…”

Section: Introductionmentioning

confidence: 99%

Abnormal laparoscopy findings among infertile women attending a mission hospital in Nigeria

Ugboaja¹,

Oguejiofor²,

Ogelle³

2017

Int. J. Med. Med. Sci.

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This research aims to study the findings from diagnostic laparoscopy among infertile women managed in a secondary healthcare center in Nigeria. This is a prospective study of eighty infertile women who had diagnostic laparoscopy in a secondary healthcare facility in Nigeria. The age range of the women was 24 to 45 years with most of them belonging to the parity group of 0 to 1 (90.0%; n=0.72). Primary infertility accounted for 43(53.8%) of cases, whereas the mean duration of infertility was 4.3+/-2.4 years. Fifty-seven (71.3%) of the women had abnormal findings at laparoscopy. This comprised mainly of tubal pathologies (63.8%, n=51), pelvic adhesions (33.8%, n=27) and uterine fibroids (31.3%, n=25). Tubal occlusion was found in 39(48.8%) of the women, compromised bilateral tubal occlusion in 12(15.0%) and unilateral tubal occlusion in 27(33.8%) of cases. Distal tubal occlusion accounted for 24(30.0%) while proximal tubal occlusion was seen in 15(18.8%) of cases. While there were 21(26.3%) cases of polycystic ovaries, there was no significant difference in prevalence of abnormal laparoscopy (p=0.8), tubal pathology (p=0.5) and tubal occlusion (p=0.18) with respect to the type of infertility. There was a high rate of abnormal laparoscopy findings among the studied women which were mainly tubal occlusion and pelvic adhesions. These findings indicate the need to incorporate laparoscopy in the initial evaluation of all infertility cases in our environment.

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The value of hysterosalpingography in the diagnosis of tubal pathology among infertile patients

Abstract: Medicina (Kaunas) 2008; 44(6) Correspondence to E. Tvarijonavičienė,

Cited by 23 publications

References 26 publications

Diagnostic Value of Hysterosalpingography and Laparoscopy for Tubal Patency in Infertile Women

Diagnostic Value of Hysterosalpingography and Laparoscopy for Tubal Patency in Infertile Women

Infertility work‐up: To what degree does laparoscopy change the management strategy based on hysterosalpingography findings?

Abnormal laparoscopy findings among infertile women attending a mission hospital in Nigeria

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