Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

Burak Yucel,Emine Demirel,Osama Shawki,Kerem Doga Seckin,Sefa Kelekci

doi:10.21613/gorm.2017.692

Abstract

ObjectiveThe aim of this study was to evaluate the diagnostic accuracy of hysteroscopic chromopertubation (HCT) in the assessment of tubal patency by comparing its results with laparoscopic chromopertubation (LCT).Study DesignThe population of this prospective cohort study consisted of both fertile and infertile women. Sixty-four women were included to the study. HCT was assessed by the observation of the transport of highly concentrated methylene blue from uterine cavity to tubal ostia. The results of HCT were compared with the results of LCT as a gold standard. The accuracy of HCT, sensitivity, specificity, positive and negative predictive values in diagnosing tubal patency were calculated.ResultsThe results of HCT and LCT were evaluated for right and left tubes, separately. One hundred and twenty-eight tubes were determined. Sensitivity, specificity, positive and negative predictive values for HCT were; 85.85%, 59.09%, 91% and 46.43%, respectively.Conclusion This study’s result showed that HCT had high sensitivity and moderate specificity values in the assessment of tubal patency. HCT during office hysteroscopy could give the chance to practitioners to assess tubal patency without subjecting the patient to multiple procedures.

Highlights

The Fallopian tubes are highly specialized and serve a number of essential functions in the reproductive process
Hysteroscopic chromotubation was positive in 100 patients, while 91 of these patients had patent tubes and nine had non-patent tubes in laparoscopy
Hysteroscopic chromotubation could give the chance to practitioners to assess tubal patency during hysteroscopy with high sensitivity and positive predictive value

Summary

Introduction

The Fallopian tubes are highly specialized and serve a number of essential functions in the reproductive process. The. Address of Correspondence: Submitted for Publication: 17.03.2017 Accepted for Publication: 07.01.2018. Quick Response Code: Access this article online. How to cite this article: Yucel B. Accuracy of a New Hysteroscopic Method in the Assessment of Tubal Patency: Hysteroscopic Chromotubation. Gynecol Obstet Reprod Med 2018;24(2): functional Fallopian tubes capture ovulated ova and transport sperm and embryos [1]. Tubal pathology is among the most common causes of female infertility and the primary diagnosis in approximately 30-35% of infertile women [2]

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Conclusion