Comparative Evaluation Of Transvaginal Saline Sonosalpingography And Laproscopy For Tubal Patency In Infertility

Saima Sadiq
2018 Zenodo  
There has been a drastic increase in the number of cases presenting with infertility and a shift in major causes from ovarian and uterine anomalies to tubal factors. Thus it was necessary to develop better means of evaluation of fallopian tubes. The technological advancements in the field of radiology made it possible to introduce into clinical practice sonographic assesment of fallopian tubes. During the past few years, sonosalpingography has been suggested as the first-line method to study
more » ... al patency. This study was done to know the applicability of this method at our institution. Objective: To compare transvaginal saline sonosalpingography (SSG) with laparoscopy for tubal patency in infertile patients in terms of sensitivity, specificity, positive predictive value (PPV) ,negative predictive value (NPV), false positives, false negatives, diagnostic accuracy, limitations and complications and to detect additional pelvic pathology. Design: Diagnostic test (prospective cross sectional study). Material and methods: Tubal patency of 50 infertile women with previous unknown tubal function was assessed by transvaginal saline SSG on day 7th or 8th of menstrual cycle by injecting 10-30 ml of normal saline solution into the uterine cavity through a pediatric 8F Foleys catheter. The collection of free fluid imaged in the pouch of Douglas or an increased volume of pre existing free fluid were considered as the evidence of at least unilateral tubal patency(positive test). Bilateral tubal obstruction was diagnosed by the absence of fluid collection or static level of fluid in pouch of Douglas( negative test) .Other positive findings were recorded. Diagnostic laparoscopy with chromopertubation was performed in the secretory phase of the same menstrual cycle of the same patient.. Results: The results from transvaginal saline SSG were compared to the findings from the standard diagnostic laparoscopy with chromopertubation. Transvaginal saline SSG had sensitivity, specificity, PPV, NPV and accuracy of 2.31%,90.91% [...]
doi:10.5281/zenodo.1400449 fatcat:aissc3jrefe75lfpqhi4hqjoba