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Hysteroscopic selective salpingography
N Inagaki1, K Sato, K Toyoshima
1Department of Obstetrics and Gynecology, Social Insurance Saitama Chuo Hospital, Urawa, Japan. ooinagaki@hotmail.com
Objective:
To evaluate the effectiveness of hysteroscopic selective salpingography (HSS) as a method for diagnosing the tubal proximal occlusion shown by hysterosalpingography (HSG).
Design:
Prospective study.
Setting:
Outpatient Department of Obstetrics and Gynecology, Social Insurance Saitama Chuo Hospital, Urawa, Japan.
Patient(S):
A total of 572 infertile women underwent HSG. Forty-seven of 50 women with unilateral or bilateral proximal tubal occlusion demonstrated by HSG underwent HSS.
Intervention(S):
Hysteroscopic selective salpingography was performed for the diagnosis of tubal occlusion in cases in which the proximal tubal occlusion was shown by HSG.
Main Outcome Measure(S):
Number of patients who underwent HSS and pregnancy rate after HSS.
Result(S):
Twenty-seven (79.4%) of 34 patients with unilateral occlusion diagnosed by HSG were shown to have normal patency by HSS. Of 12 women with bilaterally normal patent tubes confirmed by HSS, 8 (66.7%) achieved normal pregnancies within 1 year. Seven (53.8%) of 13 patients with bilateral occlusion found by HSG were shown to have normally patent tubes by HSS.
Conclusion:
The simple method of HSS was clinically effective for evaluating the presence of proximal tubal occlusion.