Tubal factor infertility: Hysterosalpingography and Laparoscopic evaluation in Ilorin, Nigeria
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Date
2017
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College of Health Sciences, Delta state University, Abraka, Nigeria
Abstract
Objectives: To compare diagnostic accuracy of laparoscopy and HSG in the evaluation of tubal patency
among infertile women.
Materials and Methods: A cross-sectional prospective study of infertile women who underwent HSG
st st and laparoscopy for tubal patency between 1 January 2011 and 31 December 2015.
Results: Ninety-seven (97) eligible patients were included in the study. The patients were aged 21-50 years
with a mean age of 33 ± 6.6 years. Majority (79.4%) were nulliparous. Most (63.9%) belong to middle
social class. Fifty (51.5%) had primary infertility while (48.5%) had secondary infertility. Their duration of
infertility ranges from 1-33 years (5.6 ± 5.5). HSG revealed bilateral tubal blockade in 23 (23.7%), bilateral
patent tubes in 38 (39.2%) and unilateral patent tube in 36 (37.1%) while laparoscopy showed bilateral
tubal blockade in 18 (18.6%), bilateral patent tubes in 51 (52.6%) and unilateral patent tube in 28 (28.8%)
respectively. There was significant difference between HSG and laparoscopic findings on tubal status
determination (p <0.05). Laparoscopy revealed other tubal and non-tubal pelvic findings not evident on
HSG. The sensitivity of HSG was 100%, specificity was 93.7%, and the positive predictive value was
78.3%, with a negative predictive value of 100%.
Conclusion: HSG and laparoscopy are of diagnostic importance in the evaluation of tubal status;
however, laparoscopy is superior most especially in the detection of other tubal and non tubal pathologies
which could be responsible for infertility; thus both tests are complimentary.
Tubal Factor Infertility: Hysterosalpingography
and Laparoscopic Evaluation in Ilorin, Nigeria.
Description
Keywords
Laparoscopy, Hysterosalpingography, Tubal patency, Ilorin