Role Of Hysterosalpingography Research Articles

Aetiological Diagnosis of Infertility at Conakry University Hospital: Role of Hysterosalpingography and Pelvic Ultrasound

Aetiological Diagnosis of Infertility at Conakry University Hospital: Role of Hysterosalpingography and Pelvic Ultrasound

Role of Hysterosalpingography in Diagnosing Tubal Blockage - A Prospective Diagnostic Study.

Background:Women with abnormal hysterosalpingography (HSG) are anxious regarding the presence of tubal pathology. It is important to know the predictive value of HSG and the need for subsequent laparoscopy following an abnormal report. In the era of assisted reproductive technology, the role of invasive testing such as diagnostic laparoscopy is being increasingly questioned due to its invasiveness and associated risks. There is a need to explore the positive predictive value (PPV) of HSG in detecting bilateral tubal block in our population as PPV changes with the prevalence of disease.Aim:The aim of this study was to evaluate the diagnostic accuracy of HSG in identifying tubal blockage in subfertile women.Setting and Design:This was a prospective diagnostic study conducted in the department of reproductive medicine and surgery in a university-level hospital.Materials and Methods:The study included 199 subfertile women who had undergone HSG earlier and were planned for laparoscopy from April 2017 to January 2021. Findings of HSG and laparoscopy were compared with HSG as index test and laparoscopy as reference test, and the outcomes analysed were PPV of HSG for a bilateral tubal block, bilateral hydrosalpinx, abnormal HSG (unilateral or bilateral tubal block) and agreement between HSG and diagnostic laparoscopy in detecting normal and abnormal findings.Statistical Analysis:Kappa statistics, Stuart–Maxwell tests of marginal homogeneity and prevalence-adjusted bias-adjusted kappa (PABAK) statistics were used.Results:The PPV for a bilateral block with HSG was 20.9% (95% CI: 13.7–29.7). The PPV of HSG for bilateral hydrosalpinx was 50.0% (95% CI: 6.8–93.2). PABAK was estimated to be 0.42 (95% CI: 0.30–0.55), suggestive of moderate agreement between the tests. Findings of laparoscopy in women with at least one patent tube in HSG showed that in 12.3% of cases, the management was likely to change due to the operative findings.Conclusion:The current study showed low PPV for bilateral tubal block diagnosed with HSG which translates into a need for further confirmation by laparoscopy. In one out of every eight women with at least one patent tube on HSG, performing laparoscopy changed the management.

WITHDRAWN: Evaluation of the role of hysterosalpingography in prediction of endometriosis in infertile females

WITHDRAWN: Evaluation of the role of hysterosalpingography in prediction of endometriosis in infertile females

The role of hysterosalpingography in the evaluation of infertile women without risk factors for tubal pathology

Gonderilme tarihi: 20.03.2015 Kabul tarihi: 31.05.2015 Abstract Purpose: Assessment of tubal patency plays an important role in the diagnosis of female infertility. Hysterosalpingography (HSG) and conventional laparoscopy with chromopertubation is traditionally used in the assessment of tubal patency. We aimed to determine the necessity of HSG in evaluation of infertile women according to risk factors for tubal pathology. Materials and methods: This prospective case-control study includes 174 infertile patients who were admitted infertility clinic. Age, duration of marriage, sexual relationship status, reproductive history were recorded. Patients were evaluated in terms of risk factors of tubal factors related to infertility and existing risk factors were recorded. The patients were divided into 2 groups; Group 1 composed of patients with risk factors and Group 2 composed of patients without risk factors. Results: History of abdominal surgery was the most common risk factors (82.97%) in patients. Thirty five of 47 (74.46%) patients in Group 1 had patency in any tuba and while 118 of 127 (92.91%) patients in Group 2 had patency in any tuba (p=0.001). Bilateral tubal occlusions were identified in 12 of 47 (25.53%) patients in Group 1, and in 9 of 127 (7.08%) patients in Group 2. The difference between two groups was statistically significant (p=0.001). Conclusion: Hysterosalpingography could be neglected in case of the evaluation of infertile women without risk factors for tubal pathology. Thus, the patients without risk of tubal factor will be protected from hysterosalpingography procedure which does not provide meaningful contribution has a radiation hazard and is painful prosedure. Larger scaled studies on this subject are warranted to reach more precise conclusion.

Is Hysterosalpingography Still Relevant in Workup of Infertility? A Review Article

The study examined the current role of Hysterosalpingography in the investigation of the infertile couple in view of the increasing use of Laparoscopy in the evaluation and management of infertility. Electronic search of published literature was done using the Pubmed, Cochrane libraries and Google search engine. The search was restricted to English language articles. Hysterosalpingography is a simple method of evaluating fallopian tube patency and cervico-uterine abnormalities. It is virtually non-invasive; and it can be therapeutic. HSG has a high specificity and a high positive predictive value; it also has a low complication rate. It requires less skill acquisition and necessary equipment are readily available. Laparoscopy should be performed in cases of abnormal hysterosalpingogram or persisting infertility in despite of normal HSG and other parameters

Role of hysterosalpingography in the era of art & endoscopy

To evaluate the efficiency of mobile C arm fluoroscopy guided real time Hysterosalpingography (HSG) in assessing the patency of fallopian tubes and attempt to classify patients into categories in merit of HSG findings to prognosticate fertility outcome.

Interventional radiology in female infertility: technique and role.

The purpose of this paper is to describe the modifications in the radiologic approach to female infertility. The role of hysterosalpingography (HSG) has evolved from being the only source of information about the uterus to a more minor role, after ultrasound, that essentially deals with the morphology of the fallopian tubes. But if its diagnostic yield in the uterus is challenged by ultrasound and hysterosonography, it retains a major impact in the work-up of female infertility. Hysterosalpingography brings decisive diagnostic information concerning the state of the tubes and peritoneum. The interventional procedures of selective salpingography and tubal recanalization have a definite therapeutic effect and allow numerous pregnancies that would otherwise have required in vitro fertilization or tubal microsurgery.

The role of hyterosalpingography in modern gynaecological practice

In their article “The role of hysterosalpingography in modern gynaecological practice” (Rajah et al, 1992), the authors state that “HSG remains the examination of choice for the investigation of congenital uterine anomalies”. This statement is apparently made on the basis of their demonstration by hysterosalpingography (HSG) of various congenital and acquired uterine abnormalities which were not recognized at laparoscopy. No independent confirmation or these diagnoses appears to hve been obtained and the HSG results are thus not corroborated. Furthermore, they state that “ultrasound failed to detect major congenital abnormalitites in our series” yet no discussion of the technique used or results obtained is presented to support such a statement.

The role of hysterosalpingography in modern gynaecological practice

We thank Dr Hugh and Dr Kerslake for their interest in our article and welcome the opportunity to reply. Dr Hugh doubts the value of relaxants during HSG for non-filling of the Fallopian tubes and suggests that alteration in tubal anatomy secondary to relaxation of the smooth muscle of the bowel may result in the tubal filling. One advantage of a technique using a tenaculum is that gentle movement on the cervix will move the Fallopian tubes if they are not fixed by adhesions. It is our practice to manipulate the tubes in this way.

The role of hysterosalpingography in modern gynaecological practice.

A retrospective review of hysterosalpingography (HSG) in a major gynaecological centre was carried out. 324 patients attended (95%) for HSG out of 341 patients referred for this investigation. 189 examinations (58.3%) were abnormal. The requests and radiological findings were reviewed and the results compared with laparoscopy. HSG remains an integral part of gynaecological investigation and its value has not diminished in modern practice.

Female genital tuberculosis and the role of hysterosalpingography

Female genital tuberculosis and the role of hysterosalpingography