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A radiological approach to infertility--hysterosalpingography
The British Journal of Radiology
|April 1, 1979
Summary
Hysterosalpingography (HSG) accurately diagnoses fallopian tube conditions in infertile patients. This imaging technique is a valuable preliminary investigation, often sufficient before surgical or conservative management.
Area of Science:
- Radiology
- Gynecology
- Reproductive Medicine
Background:
- Infertility diagnosis often requires assessing fallopian tube patency.
- Hysterosalpingography (HSG) is a common imaging modality for evaluating tubal status.
- Surgical interventions like laparoscopy/laparotomy are used to confirm findings but are invasive.
Purpose of the Study:
- To evaluate the accuracy of hysterosalpingography in diagnosing various fallopian tube pathologies.
- To assess the correlation between HSG findings and surgical confirmation in infertile patients.
- To determine the utility of HSG as a primary diagnostic tool for tubal patency.
Main Methods:
- Retrospective review of 98 patients' hysterosalpingograms.
- Analysis of technical aspects, radiological features, and reporting accuracy of HSG.
- Comparison of HSG findings with operative reports from laparotomy or laparoscopy.
Main Results:
- HSG correctly diagnosed 70 out of 77 hydrosalpinges.
- High agreement was observed between HSG and surgical findings for peritubal adhesions (123/127), cornual spasm (6/6), and cornual occlusion (8/8).
- Accuracy for partial distal occlusion was 16/20.
Conclusions:
- Hysterosalpingography demonstrates significant accuracy in diagnosing fallopian tube pathologies.
- HSG should be considered a crucial preliminary investigation for infertility.
- In many cases, HSG may be the sole imaging study required for tubal patency assessment before further management.