Role of hysterosalpingography in evaluation of tubal factors and its comparison with sonosalpingography
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20164644Keywords:
HSG, SSGAbstract
Background: Laparoscopy is considered as the gold standard for assessment of tubal factors of infertility, although because of its invasive nature, cost and the need for anaesthesia and hospitalization, HSG seems to be a basic routine procedure for tubal factors. Currently with the availability of the ultrasonography machines with very good resolution, SSG can be simultaneously practiced with ultrasonography during day 7-9 of the menstrual cycle to assess tubal patency. Hence, the present study was designed to compare the accuracy of HSG with SSG for evaluation of tubal factor infertility.
Methods: This was a prospective cross-sectional study of 100 consecutive women with primary or secondary infertility without active pelvic infection, selected from OPD of Department of Obstetrics and Gynaecology, Acharya Vinoba Bhave Rural Hospital associated with Datta Meghe Institute of Medical Sciences University, Sawangi (Meghe), Wardha over a period of two years from September 2014 to August 2016.
Results: In the present study for diagnosing tubal patency SSG had sensitivity of 88.64%, specificity of 75%, positive predictive value of 96.29% and negative predictive value of 47.36% and diagnostic accuracy of 87%, while HSG had sensitivity of 94.32%, specificity of 83.33%, positive predictive value of 97.64% and negative predictive value of 66.66% and diagnostic accuracy of 93%.
Conclusions: Initial assessment of tubal patency by HSG is better than SSG as an indirect, outdoor, non-invasive procedure although with minimal radiation hazards. It allows documentation of tubal patency enables detection of several tubal lesions and permits assessments of the fine intratubal architectural details as well as little uterine pathology. It will help in reducing the number of laparoscopic procedures and their related complications and health care costs for confirmation of tubal patency.
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References
Sembuya R. Mother or nothing: the agony of infertility. Bull World Health Organ. 2010;88:881-2.
Aral SO, Cates W. The increasing concern with infertility: Why now? JAMA. 1983;250(17):2327-31.
Aubuchon M, Burney O. Infertility and Assisted Reproductive Technology. In: Novak E. Berek and Novak's gynecology. Berek JS, editor. Lippincott Williams and Wilkins; 2007. page 6627.
Subbarao K. Presidential address at the 52 nd annual congress of Indian radiological and imaging association. Indian Journal of Radiology and Imaging. 1999;9(1):3.
Khan MI, Jesmin S, Jerin J, Shermin S, Chowdhury TA. Hysterosalpingography in Infertility. Delta Medical College Journal. 2014;2(1):9-12.
Malhotra N, Malhotra J, Mittal S, Singh A. Sonosalpingography. Nepal Journal of Obstetrics and Gynaecology. 2006;1(2):71-3.
Raj N, Sonowal R. Comparative study of Hysterosalpingography and Sonohysterosalpingography in the evaluation of fallopian tube patency in routine infertility assessment. International Journal of Recent Trends in Science and Technology. 2015;16(3):494-8.
El-Tabbakh MN, Slamka P. Transvaginal sonohysterography (Tv-Sh), Versus hysterosalpingography (Hsg) And laparoscopy. Available from: http://hcp.obgyn.net/ laparoscopy/content/article/1760982/1896801#. 2011.
Suttipichate J, Sroywattana C, Dejthevaporn T, Virojchaiwong P, Sripramote M. Transvaginal Saline Sonosalpingography for The Assessment of Tubal Patency. assessment. 2002;14(3).
Singhal A, Agrawal K, Khuteta R. Comparison of Transvaginal Sonosalpingography to Chromolaparoscopy for Evaluation of Tubal Patency in Infertile Patients. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2011;1(15):47-9.
Hajishafiha M, Zobairi T, Zanjani VR, Ghasemi-Rad M, Yekta Z, Mladkova N. Diagnostic value of sonohysterography in the determination of fallopian tube patency as an initial step of routine infertility assessment. Journal of Ultrasound in Medicine. 200928(12):1671-7.
Gandotra N, Sharma A, Rizvi SM. Comparison of Laparoscopy and Hysterosalpingography in Diagnosis of Tubal Occlusion. 2015.
Malik B, Patil S, Boricha BG, Kurkal N, Choudhry M. A comparative study of the efficacy of sonosalpingography and hysterosalpingogram to test the tubal patency in all women with primary and secondary infertility. Ultrasound quarterly. 2014;30(2):139-43.
Geetha D, Thilagavathy D. Comparative Evaluation of Tubal Patency by sterosalphingography and Laparoscopicchromopertubation. IOSR Journal of Dental and Medical Sciences. 2016;15(08):53-57.
Seal SL, Ghosh D, Saha D. Comparative evaluation of sonosalpingography, hysterosalpingography and laparoscopy for determination of tubal patency. J Obstet Gynecol India. 2007;57:158-61.
