Diagnostic value of hysterosalpingography and laparoscopy for tubal patency in infertile women: a tertiary referral center experience
Articles > Article · 2020
Authors: İsmet HORTU, SEDA AKGÜN KAVURMACI, Gökay ÖZÇELTİK, ELİF KARADADAŞ, FIRAT ÖKMEN, Ahmet Mete ERGENOĞLU
Kocaeli Tıp Dergisi, Other Refereed National Journals, National, TR DİZİN (ULAKBİM), 2020, vol 9, pp 166-171
Summary
<p>INTRODUCTION: The aim of this study was to compare Hysterosalpingography and Laparoscopy as the two methods for evaluation of tubal pathologies in infertile patients and assess sensitivity and specificity of HSG. In addition, we aimed to evaluate a retrospective data of our tertiary referral center.</p><p>METHODS: Tubal pathologies were evaluated both with HSG and Laparoscopy in 288 patients who consulted to the infertility clinic. Data obtained with HSG is analysed based on laparoscopic findings where it is considered as the gold standard method.</p><p>RESULTS: In all patients, positive predictive value (PPV) of HSG was 81,1% and negative predictive value (NPV) was 53,2%. The patients were analyzed based on primary and secondary infertility where PPVs were 79,2% and 83,3% and NPVs were 56,7% and 48,5%, respectively. The sensitivity and spesificity were 59,5% and 76,9% for all patients, 59,4% and 77,3% for patients with primary infertility and 59,5% and 76,2% for secondary patients, respectively.</p><p>DISCUSSION AND CONCLUSION: While the sensitivity and spesificity measures for HSG were in agreement with the current literature, Negative predictive values were low marking that laparoscopy should be considered to confirm tubal occlusions which could be overlooked by HSG.</p>