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

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.

[1]  N. Georges,et al.  Comparison of hysterosalpingograms with laparoscopy in the diagnostic of tubal factor of female infertility at the Yaoundé General Hospital, Cameroon , 2015, The Pan African medical journal.

[2]  M. Shawky,et al.  The safety and acceptability of saline infusion sonography versus hysterosalpingography for evaluation of tubal patency in infertile women , 2015 .

[3]  G. Youssef,et al.  Combined transvaginal sonography and diagnostic hysteroscopy in the assessment of tubal patency in infertile women in correlation to laparoscopic chromopertubation , 2015 .

[4]  P. Török.  [Use of hysteroscopy at the office in gynaecological practice]. , 2014, Orvosi Hetilap.

[5]  A. Rashed,et al.  Role of hysteroscopy in the evaluation of tubal patency in infertile women , 2014 .

[6]  A. Güler,et al.  Comparison of hysterosalpingography and transvaginal hydrolaparoscopy in patients with tubal factor infertility: a prospective cohort study , 2014, Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques.

[7]  V. Bilali,et al.  Comparison between transvaginal sonography after diagnostic hysteroscopy and laparoscopic chromopertubation for the assessment of tubal patency in infertile women , 2012, Journal of clinical ultrasound : JCU.

[8]  S. Nakajima,et al.  Current methods of tubal patency assessment. , 2011, Fertility and sterility.

[9]  B. Mol,et al.  Are patient characteristics associated with the accuracy of hysterosalpingography in diagnosing tubal pathology? An individual patient data meta-analysis. , 2011, Human reproduction update.

[10]  E. Ferrazzi,et al.  Two-dimensional HyCoSy with contrast tuned imaging technology and a second-generation contrast media for the assessment of tubal patency in an infertility program. , 2009, Fertility and sterility.

[11]  A. Shahin,et al.  Hysterosalpingo‐contrast sonography versus radiographic hysterosalpingography in the evaluation of tubal patency , 2009, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[12]  E. Tuncel,et al.  Infertile Women with Bilateral Obstructed Tubes: (A presentation of 7 cases) , 2006 .

[13]  A. D. de Craen,et al.  Routine use of hysterosalpingography prior to laparoscopy in the fertility workup: a multicentre randomized controlled trial. , 2006, Human reproduction.

[14]  I. Wolman,et al.  Hysterosalpingo contrast sonography for the evaluation of the tubal factor in infertility investigation: review of literature , 2003 .

[15]  R. Frydman,et al.  Should diagnostic hysteroscopy be a routine procedure during diagnostic laparoscopy in women with normal hysterosalpingography? , 2002, Reproductive biomedicine online.

[16]  A. Balen,et al.  A randomized controlled trial of tubal flushing with lipiodol for unexplained infertility. , 2002, Fertility and sterility.

[17]  K. Holz,et al.  Ultrasound in the investigation of tubal patency. A meta-analysis of three comparative studies of Echovist-200 including 1007 women. , 1997, Zentralblatt fur Gynakologie.

[18]  G. Hofmeyr,et al.  A clinical comparison of sonographic hydrotubation and hysterosalpingography , 1991, British journal of obstetrics and gynaecology.