Abstract
Objective: To compare the results of hysterosalpingography and laparoscopic methylene blue test for assessment of tubal patency in patients with infertility. Subjects and Methods: The case records of 124 patients who underwent both hysterosalpingography and laparoscopy as part of comprehensive infertility work-ups at the University of Maiduguri Teaching Hospital between January 1996 and December 2000, inclusive, were reviewed. Results: There was a close correlation of both methods in 90.9% of the cases in the diagnosis of tubal patency. There was no statistical difference in the diagnosis of tubal occlusion using both hysterosalpingography and laparoscopy. However, there was a significant difference in the ability to make a diagnosis of peritubal adhesions for which laparoscopy was more useful (p < 0.001). Conclusion: The results suggest that laparoscopy is a superior method in the investigation of tubal patency with a better potential for full appraisal of peritubal adhesions prior to tuboplasty. It is therefore recommended as an essential investigation in patients with infertility. Key Words: Hysterosalpingography, Laparoscopy, Tubal Patency [Trop J Obstet Gynaecol, 2003, 20: 20-23]
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