A Study Evaluating the Incidence of Tubal Blockage in Infertility Patients and Comparison of Laparoscopic Chromopertubation with Hysterosalpingography and Sonosalpingography
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 11
Abstract
Abstract: In India the incidence of tubal block secondary to pelvic inflammatory disease is high. Numerous methods have been described for assessment of Fallopian tube (FT) patency. Since Laparoscopic Chromopertubation (CPT) is an invasive method and is associated with anesthesia complications, other less invasive and technically less cumbersome procedures are required. This prospective study included 50 cases of both primary and secondary infertility attending Gynecology outdoor. Group A included patients who had undergone hysterosalpingography (HSG) and Laparoscopic CPT and Group B in whom sonosalpingography (SSG) and Laparoscopic CPTwas performed.In the current study amongst female related causes of infertility, incidence of tubal factor (tubal occlusion) was observed to be 42.0 %. Ingroup A (HSG and laparoscopic CPT) there was an overall agreement in 88.0 % patients for both tubal patency (52.0 % cases) and for tubal occlusion (36.0 %) with false positive results in 12.0 % cases. Sensitivity and specificity of HSG was found to be 90.0 % and 84.2% respectively. In group B (SSG and laparoscopic CPT) there was an overall agreement in 92.0 % patients including 44.0 % for bilateral tubal patency and 48.0 % for tubal occlusion with false positivity of 8.0 %. The sensitivity and specificity of SSG technique was found to be 92.3% and 81.0 % respectively.Although, transvaginal SSG is not a substitute of Laparoscopic CPT it can be offered as a less expensive more convenient, noninvasive, simple outdoor screening procedure which can be performed in patients who have bronchial asthma or cardiac problems and are temporarily unfit for surgery. Keywords:Hysterosalpingography, Sonosalpingography, Laparoscopic CPT, Infertility, Tubal blockage, Tubal patency
Authors and Affiliations
Poonam Parakh, Manisha Gurjar, Meetu Babel, Anoop Singh Gurjar
Keywords
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