THE ROLE OF SALPINGOSCOPY IN TUBAL FACTOR OF INFERTILITY

MN, El-Gharib; M, Anamouri; MY, Sabri

doi:10.21608/egyfs.2008.4871

THE ROLE OF SALPINGOSCOPY IN TUBAL FACTOR OF INFERTILITY

Document Type : Original Article

Authors

¹ From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta University,

² From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta University,and E1-Mataria Teaching Hospital

³ Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta University,

10.21608/egyfs.2008.4871

Abstract

Objective : To evaluate the role of the salpingoscope in the prediction of reproductive outcome in cases of female
infertility and to correlate these findings with saipingographic and laparoscopic findings.
Design: Prospective study.
Setting: Tanta University Hospitals and El-Mataria Teaching Hospital.
Patients : The study was carried out on 30 women during the reproductive age; 17 were primary infertile amd 13 were
secondary infertile.
Intervention: All the patients were subjected to history taking, physical examination, HSG, laparoscopy and
salpingoscopy under general anesthesia.
Outcome measures: Pregnancy occurred in 56.7% of cases reported as salpingoscopically normal and in 33.3% of
cases found to be abnormal salpingoscopically and treated.
Results: There was a discrepancy between findings detected by HSG and those found by laparoscopy. Laparoscopy
examination revealed that pelvic and peritubal abnormalities were also found in 13.56% of cases diagnosed normal by
HSG. We also found a discrepancy between salpingoscopic and saipingographic findings. Fifty live Fallopian lubes
were considered normal by HSG; 11 of these tubes (18.6%) were proved by salpingoscopy to have intratubal pathology.
This study demonstrated that there is also discrepancy between findings at laparoscopy and those of salpingoscopy
when both were done at the same setting as 71.2% of the studied lubes were considered laparoscopically free of tubal
pathology, 20% of them were proved salpingoscopically to have intratubal pathology.
Conclusion: Both laparoscopy and salpingoscopy arc complementary procedures and their combination should be a
standard part of the investigations.

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