Comparative study of tubal patency by sonosalpingogram hysterosalpingography and diagnostic laparoscopy

Authors

  • Spoorthy Reddy Department of Obstetrics and Gynecology, Government Medical College, Mahabubnagar, Telangana, India
  • M. Padma Department of Obstetrics and Gynecology, Government Medical College, Mahabubnagar, Telangana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193768

Keywords:

Diagnostic laparoscopy, Hysterosalpingography, Infertility, Screening test, Sonosalpingogram, Tubal patency

Abstract

Background: Sonosalpingography has been suggested as the first-line method to study tubal patency. This study is to bring into focus the value of pelvic sonogram in accessing tubal patency in order to overcome the radiation hazard associated with hysterosalpingogram reduce the cost of examination and encourage it at first-line office. Objective of this study was to compare the diagnostic efficacy of sonosalpingogram, hysterosalpingography and diagnostic laparoscopy for tubal patency as a cause for female infertility.

Methods: It is a prospective study in 100 patients attending for evaluation of infertility for a period of 2 years were chosen for this study. All cases with primary and secondary infertility who have attended infertility clinic for tubal causes.

Results: 68 cases were found to have bilateral patency as per SSG while 58 cases had bilateral patency as HSG. Similarly 24 cases had bilateral block as per SSG while 28 cases had bilateral block as per HSG. 8 cases had unilateral block as per SSG while 14 cases had unilateral block as per HSG.  This difference in observations may probably attribute to tubal spasm in HSG. Bilateral patency was observed in 68 cases as against 64 cases in laparoscopy.  Out of these 68 cases 9 cases were false positive as bilaterally patent.  However bilateral blocks were shown to be 24 in both methods. Out of 12 cases of unilateral block as per laparoscopy 8 cases were detected by SSG. There was false negative rate of 5%. There was false negative rate of 10% for tubal patency with HSG.

Conclusions: For low risk subjects for tubal factors in infertility, sonosalpingogram can be employed as a screening test of choice and for high risk subjects HSG and laparoscopy can be used.

References

Klein, Jeffrey and Sauer, Mark. Assessing fertility in women of advanced reproductive age. Am J Obstet Gynecol. 2001;185:758-70.

Foroozanfard F, Rafiei H, Samimi M, Gilasi HR, Gorjizadeh R, Heidar Z, et al. The effects of dietary approaches to stop hypertension diet on weight loss, anti‐Müllerian hormone and metabolic profiles in women with polycystic ovary syndrome: A randomized clinical trial. Clinical Endocrinol. 2017;87(1):51-8.

Lalls SS, Debdulta G, Debdas S. Comparative evaluation of sonosalpingography hysteron-salpingography and laproscopy for determination of tubal patency. J Obstet Gynecol India. 2007;57(2):158-61.

Samal S, Agrawal S, Agrawal M. Role of laparoscopy in infertility in a rural setup hospital. Int J Reprod Contracept Obstet Gynecol. 2014;3:185-8.

Suttipichate J, Sroywattana C, Dejthevaporn T. Transvaginal saline sonosalpingography for the assessment of tubal patency. Thai J Obstet Gynaecol. 2002;14:223-9.

Eleje, George Ei, Okaforcha Umeononihu, Osita Udegbunam, Onyebuchi Etoniru, Izu Okwuosa, Ayodele. Hysterosalpingographic findings among infertile women: review at a tertiary health care institution in Nnewi, South-east Nigeria. Afrimedic J. 2012;l3:20-3.

Shetty SK, Shetty H, Rai S. Laparoscopic evaluation of tubal factor in cases of infertility. Int J Reprod Contracept Obstet Gynecol. 2013;2(3):410-3.

Al-Rubaii, Jabber B. Comparative evaluation of saline-sonograghy hystro-salpingograghy and laprascopy in determination of tubal patency. 2011

Pujar, Yeshita, Sherigar B, Patted S, Desai BR, Dhumale H. Comparative evaluation of saline infusion sonohysterography and hysterolaparoscopy for diagnosis of uterine cavity abnormalities and tubal patency in infertility: a one year cross-sectional study. J SAFOG with DVD. 2011:133-135.

Ranaweera AKP, Batcha M, Kalansooriya H. Value of sonographic hydrotubation using agitated saline as a screening test for tubal patency: Sch J App Med Sci. 2013;1(2):122-30.

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. J Ultrasound Med. 2009;28(12):1671-7.

Ng EH, Chan CC, Tang OS, Yeung WS, Ho PC. Factors affecting endometrial and subendometrial blood flow measured by three-dimensional power Doppler ultrasound during IVF treatment. Hum Reprod. 2006;21(4):1062-9.

Sakar MN, Unal A, Atay AE, Zebitay AG, Verit FF, Demir S, et al. Is there an effect of thyroid autoimmunity on the outcomes of assisted reproduction?, J Obstet Gynaecol. 2016;36(2):213-7.

Jara-Díaz S, Tovar B, Trujillo L. Marginal costs, scale and scope for cargo handling firms in Spain. Transportation. 2005;32:275-91.

Rizvi S, Jafri A, Haider R. Tubal sterilization reversal: is there any role in this modern era of art?. Ann King Edward Med Univer. 2015;21(4):290

Downloads

Published

2019-08-26

Issue

Section

Original Research Articles