Correlation between Hysterosalpingography and Laparoscopy/Dye Test in the Investigation of Tubal Factor Infertility.

Abstract

Context: Tubal factor infertility is common among infertile couples in Nigeria. Clinical evaluation involves studies of uterotubal patency.
Aim: To assess the level of correlation between findings on hysterosalpingography and laparocopy/dye test infertile patients.
Method: A 5-year retrospective review of patients with tubal factor infertility at the University of Benin Teaching Hospital Benin City between 1998 and 2002.
Results: Utero-tubal factor infertility was confirmed in 13.5% of the 1181 infertility cases within the period. The concordance rates between hysterosalpingography and laparoscopic/dye test in demonstrating normal tubes and pelvic adhesions were 35.5%
and 38.3% respectively, while in cases of unilateral and bilateral tubal blockage, these were 85.0% and 88.4% respectively.
Conclusion: Management outcome of tubal infertility can be optimized with complementary usage of hysterosalpingography and laparoscopy/dye test in the evaluation of utero tubal
pathologies.

Keywords: concordance, infertility, laparoscopy,
hysterosalpingogram, Benin City.

Nigerian Medical Journal Vol. 48 (3) 2007: pp. 71-74