A retrospective study on hysterosalpingography in tertiary care hospital in Puducherry
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251232Keywords:
Hysterosalphingogram, Infertility, Uterine malformationsAbstract
Background: Infertility is a health issue worldwide and hysterosalpingography (HSG) is a valuable tool in infertility workup. HSG is used as a modality in investigating both primary and secondary infertility.
Methods: This is a retrospective descriptive study. This study includes 168 women who attended obstetrics and gynecology outpatient department (OPD) of Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, with infertility in 2022-2023. The hysterosalpingogram reports of the patients were collected and analysed.
Results: A total of 154 cases were analysed, out of which 126 cases (81.8%) had normal findings and 28 cases (18.2%) had pathological findings, which include 14 cases (50%) had unilateral cornual block, 7 cases (25%) had unilateral fimbrial block, 2 cases (7.1%) had unilateral fimbrial block and hydrosalpinx, 2 cases (7.1%) had bicornuate uterus, 1 case (3.6%) had synechia, 1 case (3.6%) had unicornuate uterus and 1 case (3.6%) had arcuate morphology.
Conclusions: HSG is an effective first-line radiological screening modality for investigating primary and secondary infertility. However, HSG does not match other imaging modalities like hysterosalpingosonography, laparoscopy, and higher imaging modality like magnetic resonance imaging (MRI). HSG still holds importance in the screening for primary and secondary infertility in tertiary care hospitals in developing countries.
Metrics
References
Chalazonitis A, Tzovara I, Laspas F, Porfyridis P, Ptohis N, Tsimitselis G. Hysterosalpingography: technique and applications. Curr Probl Diagn Radiol. 2009;38(5):199-205. DOI: https://doi.org/10.1067/j.cpradiol.2008.02.003
Baramki TA. Hysterosalpingography. Fertil Steril. 2005;83(6):1595-606. DOI: https://doi.org/10.1016/j.fertnstert.2004.12.050
Nash D, Haning RV, Shapiro SS. The value of hysterosalpingography prior to donor artificial insemination. Fertil Steril. 1979;31:378. DOI: https://doi.org/10.1016/S0015-0282(16)43931-2
Ghazi A, Saddique MS, Saddique N, Jabbar S. Evaluation of infertility in a tertiary care hospital. Pak J Surg. 2007;23:283-6.
Opsahl MS, Miller B, Klein TA. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Fertil Steril. 1993;60:444-8. DOI: https://doi.org/10.1016/S0015-0282(16)56158-5
Soares SR, Reis MMBB, Camargos AF. Diagnostic accuracy of soundhysterosalpingography, transvaginal sonography and hysterosalpingography in patients with uterine cavity disorders. Fertil Steril. 2000;73:406-11. DOI: https://doi.org/10.1016/S0015-0282(99)00532-4
Reddy GS, Jyothi G. Hysterosalpingogram in evaluation of primary and secondary infertility: a two year study at a tertiary care hospital of South India. Int J Reprod Contracept Obstet Gynecol. 2019;8(6):2202-7. DOI: https://doi.org/10.18203/2320-1770.ijrcog20192164
Broekhuizen FF, Haning RV Jr, Shapiro SS. Laparoscopic findings in twenty-five failures of artificial insemination. Fertil Steril. 1980;34:351. DOI: https://doi.org/10.1016/S0015-0282(16)45017-X
Phillipsen T, Hansen BB. Comparative study of hysterosalpingography and laparoscopy in infertile patients. Acta Obstet Gynecol Scand. 1981;60:149. DOI: https://doi.org/10.1111/j.1600-0412.1981.tb00027.x
Swart P, Mol BWJ, van der Veen F, van Beurden M, Redekop WK, Bossuyt PMM. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta- analysis. Fertil Steril. 1995;64:486-49. DOI: https://doi.org/10.1016/S0015-0282(16)57781-4
Tiwari A, Singh BK, Mishra A. A comparative study to evaluate diagnostic accuracy and correlation between saline infusion sonography, hysterosalpingography and diagnostic hysterolaparoscopy in infertility. Int J Repord Contracept Obstet Gynecol. 2020;9:669-74. DOI: https://doi.org/10.18203/2320-1770.ijrcog20200356
Dasan TA, Basawaraj NG. A comparative study of saline infused sonohysterography and conventional hysterosalpingography in the evaluation of female infertility. West Afr J Radiol. 2016;23(2):124-9. DOI: https://doi.org/10.4103/1115-3474.188002
Roest I, van Welie N, Mijatovic V, Dreyer K, Bongers M, Koks C, et al. Complications after hysterosalpingography with oil- or water-based contrast: results of a nationwide survey. Hum Reprod Open. 2020;2020(1):hoz045. DOI: https://doi.org/10.1093/hropen/hoz045
Grossman YS, Bena errands BR. Complete evaluation of anatomy morphology of the infertile patient in a single visit; the modern infertility pelvic ultrasound examination. Fertil Steril. 2016;105(6):1381-93. DOI: https://doi.org/10.1016/j.fertnstert.2016.03.026
Reis MM, Soares SR, Cancado ML, Camargos AF. Hysterosalpingo contrast sonography (HyCoSy) with SH U 454 (Echovist) for the assessment of tubal patency. Hum Reprod. 1998;13(11):3049-52. DOI: https://doi.org/10.1093/humrep/13.11.3049
Ngowa JD, Kasia JM, Georges NT Nkongo V, Sone C, Fongang E. Comparison of hysterosalpingograms with laproscopy in the diagnostic of tubal factor of female infertility at the yaounde General Hospital, Cameroon. Pan Afr Med J. 2015;22:26. DOI: https://doi.org/10.11604/pamj.2015.22.264.8028
Downloads
Published
How to Cite
Issue
Section
