LAPAROSCOPY VERSUS HYSTEROSALPINGOGRAPHY FOR FALLOPIAN TUBES IN EVALUATION OF FEMALE INFERTILITY
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Keywords
Hysterosalpingography, Laparoscopy, infertility, Pelvic pathologies
Abstract
Introduction: Laparoscopy and hysterosalpingography are the most requested examinations in developing countries for tubal factor exploration for female infertility.
Objective: To compare the results of hysperosalpingography and laparoscopy in patients assessed for infertility.
Patients & Methods: It was an experimental study carried out at Obstetrics and Gynecology department Gajju Khan Medical College Swabi from Jan 2023 to Dec 2023. All the patients were recruited through convenience sampling and assigned into two groups randomly. Total 80 patients were included in the study and equally divided into two groups. Group I had 40 patients who undergone hysterosalpingogram and group II had 40 patients who undergone diagnostic laparoscopy. Both these investigations were carried out to look for tubal patency in patients with infertility. Common parameters that includes dye spillage, uterine shape, peritoneal adhesions and hydrosalphinx were looked for.
Results
A total of 80 patients were enrolled in the study. 40 patients were in group I that includes patients who undergone hysterosalpingogram and group II includes patients who undergone diagnostic laparoscopy.Mean age of the patients was 28.51±5.58 years. 63.75% (n=51) patients had primary infertility and 36.25% (n=29) patients had secondary infertility. . In HSG group, bilateral spillage was observed in 67.5%(n=27) and 22.5%(n=09) has unilateral intraperitoneal dye spillage while 10%(n=04) has no spillage .In Laparoscopy group,27.5%(n=11) and 17.5%(n=07 )has bilateral and unilateral spillage respectively while 55%(n=2) has no spillage. Regular uterine shape was observed in 70% and 72.5% cases in HSG and Laproscopy group respectively. Peritoneal adhesions were only observed in laparoscopy group which was 40% bilateral and 15% unilateral.
Conclusion
The results of HSG and those of laparoscopy are complementary in tubal infertility evaluation. HSG seems to be reliable when the tubes are patent while laparoscopy helps to reveal false tubal obstructions observed with HSG, and also helps in the diagnosis of pelvic adhesive bands and endometriosis.
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Dr. Zul-e-Huma
Assistant Professor Department of Gynae & Obs Gajju khan Medical College, Swabi, Pakistan
Dr.Aneesa Sadiq
Assistant Professor Department of Gynae & Obs Gajju khan Medical College, Swabi, Pakistan
Dr.Surraya Israr
Assistant Professor Department of Gynae & Obs Gajju khan Medical College, Swabi, Pakistan
Dr.Humeera Naz
Assistant Professor Department of Gynae & Obs Gajju khan Medical College, Swabi, Pakistan
Dr.Perveen Shafi
Assistant Professor Department of Gynae & Obs Gajju khan Medical College, Swabi, Pakistan
Dr.Bakht Rerna
Senior Registrar Department of Gynae & Obs Gajju khan Medical College, Swabi, Pakistan