Omokanye, Lukman O.Olatinwo, Abdulwaheed O.Ibrahim, S.Saadu, L.Durowade, K A.Panti, Abubakar A.2021-05-072021-05-072017https://uilspace.unilorin.edu.ng/handle/20.500.12484/5138Objectives: 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.enLaparoscopyHysterosalpingographyTubal patencyIlorinArticle