The Diagnostic Value of Laparoscopy for the Evaluation of Patent but Abnormal Tubes on Hysterosalpingography

Özge Senem Yücel Çiçek; Emek Doğer; Ahmet Mücahit Karan; Mehriban Zeynallı

Makale detayları

The Diagnostic Value of Laparoscopy for the Evaluation of Patent but Abnormal Tubes on Hysterosalpingography

Yazarlar:

Özge Senem Yücel Çiçek | Emek Doğer | Ahmet Mücahit Karan | Mehriban Zeynallı

Yayıncı:

Kocaeli University

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi Vol.9 Issue 1, pp.35-38

Belge Tipi:

Makale

Yayın Tarihi:

2/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001283749

pISSN:

2149-8571

Anahtar kelimeler:

Özet:

 Objective: The diagnostic value of hysterosalpingography HSG findings suggestive of subtle tubal pathologies is controversial. The gold standard method to evaluate the fallopian tubes is laparoscopy. The aim of this study is to explore the laparoscopic findings of patients with abnormal findings but patent tubes detected on HSG. Methods: The study population included infertile women undergoing laparoscopy for further evaluation of abnormal tuba-related findings on HSG. The HSG views were evaluated for the presence of tubal patency and the convoluted tubes, loculation of the dye in the peritubal area, tubal ectasia, and fimbrial phimosis. The type and frequency of pelvic pathologies detected on laparoscopic examination and the predictive value of patent but abnormal fallopian tube finding on HSG were analyzed. Results: A total of 73 laparoscopy cases were eligible. Of these, 18 25 had normal laparoscopic findings. In 75 of the cases, there was at least one pelvic pathology detected during laparoscopy. The most common pelvic pathology detected was tubal adhesions. Tubal adhesions were detected in 21 cases 29. Fimbrial phimosis was detected in 11 cases 13. Paratubal cysts were detected in 7 cases 10. Conclusion: While evaluating a HSG, focusing only on tubal patency may result in the failure of detecting subtle tubal pathologies. Clinicians should be familiar with abnormal HSG findings suggestive of tubal abnormalities. Careful examination of the HSG views regarding other tubal pathologies is warranted as these subtle conditions may impair fertility and laparoscopic correction of these pathologies has a positive impact on fertility.

 Objective: The diagnostic value of hysterosalpingography HSG findings suggestive of subtle tubal pathologies is controversial. The gold standard method to evaluate the fallopian tubes is laparoscopy. The aim of this study is to explore the laparoscopic findings of patients with abnormal findings but patent tubes detected on HSG. Methods: The study population included infertile women undergoing laparoscopy for further evaluation of abnormal tuba-related findings on HSG. The HSG views were evaluated for the presence of tubal patency and the convoluted tubes, loculation of the dye in the peritubal area, tubal ectasia, and fimbrial phimosis. The type and frequency of pelvic pathologies detected on laparoscopic examination and the predictive value of patent but abnormal fallopian tube finding on HSG were analyzed. Results: A total of 73 laparoscopy cases were eligible. Of these, 18 25 had normal laparoscopic findings. In 75 of the cases, there was at least one pelvic pathology detected during laparoscopy. The most common pelvic pathology detected was tubal adhesions. Tubal adhesions were detected in 21 cases 29. Fimbrial phimosis was detected in 11 cases 13. Paratubal cysts were detected in 7 cases 10. Conclusion: While evaluating a HSG, focusing only on tubal patency may result in the failure of detecting subtle tubal pathologies. Clinicians should be familiar with abnormal HSG findings suggestive of tubal abnormalities. Careful examination of the HSG views regarding other tubal pathologies is warranted as these subtle conditions may impair fertility and laparoscopic correction of these pathologies has a positive impact on fertility.

 Objective: The diagnostic value of hysterosalpingography HSG findings suggestive of subtle tubal pathologies is controversial. The gold standard method to evaluate the fallopian tubes is laparoscopy. The aim of this study is to explore the laparoscopic findings of patients with abnormal findings but patent tubes detected on HSG. Methods: The study population included infertile women undergoing laparoscopy for further evaluation of abnormal tuba-related findings on HSG. The HSG views were evaluated for the presence of tubal patency and the convoluted tubes, loculation of the dye in the peritubal area, tubal ectasia, and fimbrial phimosis. The type and frequency of pelvic pathologies detected on laparoscopic examination and the predictive value of patent but abnormal fallopian tube finding on HSG were analyzed. Results: A total of 73 laparoscopy cases were eligible. Of these, 18 25 had normal laparoscopic findings. In 75 of the cases, there was at least one pelvic pathology detected during laparoscopy. The most common pelvic pathology detected was tubal adhesions. Tubal adhesions were detected in 21 cases 29. Fimbrial phimosis was detected in 11 cases 13. Paratubal cysts were detected in 7 cases 10. Conclusion: While evaluating a HSG, focusing only on tubal patency may result in the failure of detecting subtle tubal pathologies. Clinicians should be familiar with abnormal HSG findings suggestive of tubal abnormalities. Careful examination of the HSG views regarding other tubal pathologies is warranted as these subtle conditions may impair fertility and laparoscopic correction of these pathologies has a positive impact on fertility.

 Amaç: Tubal açıklığın olduğu durumlarda, tubal patolojileri düşündüren diğer histerosalpingografi HSG bulgularının tanısal değeri tartışmalıdır. Fallop tüplerini değerlendirmek için altın standart kabul edilen yöntem ise laparoskopidir. Bu çalışmanın amacı HSGde tubal açıklık saptanan ancak anormal bulguları olan hastaların laparoskopik bulgularını araştırmaktır. Yöntem: Çalışma popülasyonu, HSGde saptanan anormal tubal bulguların ileri değerlendirmesi için laparoskopi yapılan infertil kadınları içermektedir. HSG görüntüleri tubal açıklık, kıvrımlı tüpler, peritubal alanda boyanın göllenmesi, tubal ektazi ve fimbrial fimosis varlığı açısından değerlendirilmiştir. Laparoskopik değerlendirmede saptanan pelvik patolojilerin tipi ve sıklığı araştırılmıştır. Bulgular: Toplam 73 laparoskopi vakası çalışmaya dahil edilmiştir. Bunların 18inde 25 normal laparoskopik bulgular saptanmıştır. Vakaların 75inde laparoskopi sırasında en az bir pelvik patoloji tespit edilmiştir. En sık saptanan pelvik patoloji tubal adezyonlardır. 21 olguda 29 tubal adezyon saptanmıştır. Vakaların 23ünde endometriotik implantlar saptanmıştır. 11 olguda 13 fimbrial fimozis, 7 olguda 10 ise paratubal kistler tespit edilmiştir. Sonuç: HSG değerlendirmesi esnasında sadece tubal açıklığa odaklanmak, diğer tubal patolojilerin tespit edilememesine neden olabilir. Klinisyenler, tubal anormallikleri düşündüren anormal HSG bulgularına aşina olmalıdır. Bu patolojilerin infertiliteye sebep olması ve laparoskopik tedavilerinin fertilite üzerinde olumlu etkisi olması, HSG görüntülerinin bu patolojiler açısından dikkatli bir şekilde incelenmesini gerekli kılmaktadır.

Makale detayları

The Diagnostic Value of Laparoscopy for the Evaluation of Patent but Abnormal Tubes on Hysterosalpingography

Yazarlar:

Özge Senem Yücel Çiçek | Emek Doğer | Ahmet Mücahit Karan | Mehriban Zeynallı

Yayıncı:

Kocaeli University

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi Vol.9 Issue 1, pp.35-38

Belge Tipi:

Makale

Yayın Tarihi:

2/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001283749

pISSN:

2149-8571

fallopian tube

hydrosalpinx

infertility

laparoscopy

hysterosalpingography

Fallop tüpü

hidrosalpinks

histerosalpingografi

infertilite

laparoskopi

Sayı

Makale detayları

Yazarlar: Özge Senem Yücel Çiçek | Emek Doğer | Ahmet Mücahit Karan | Mehriban Zeynallı

Yayıncı: Kocaeli University

Ana Başlıklar: Kadın Hastalıkları ve Doğum

Dergi: Kocaeli Üniversitesi Sağlık Bilimleri Dergisi Vol.9 Issue 1, pp.35-38

Belge Tipi: Makale

Yayın Tarihi: 2/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001283749

pISSN: 2149-8571

Sayı

Yazarlar:

Özge Senem Yücel Çiçek | Emek Doğer | Ahmet Mücahit Karan | Mehriban Zeynallı

Yayıncı:

Kocaeli University

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi Vol.9 Issue 1, pp.35-38

Belge Tipi:

Makale

Yayın Tarihi:

2/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001283749

pISSN:

2149-8571