Survey of The Level of Concordance Between Hysterosalpigography  (HSG) and Laparoscopy in Diagnosis of Tubo-Peritoneal Factors in  Infertile Women

Zahiri Sorouri, Z; Faraji, R

Volume 14, Issue 53 (4-2005) JGUMS 2005, 14(53): 43-48 | Back to browse issues page

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Zahiri Sorouri Z, Faraji R. Survey of The Level of Concordance Between Hysterosalpigography (HSG) and Laparoscopy in Diagnosis of Tubo-Peritoneal Factors in Infertile Women. JGUMS 2005; 14 (53) :43-48
URL: http://journal.gums.ac.ir/article-1-542-en.html

Survey of The Level of Concordance Between Hysterosalpigography (HSG) and Laparoscopy in Diagnosis of Tubo-Peritoneal Factors in Infertile Women

Z Zahiri Sorouri ^*

, R Faraji

Abstract: (8471 Views)

Abstract Introduction: The HSG is a noninvasive method for tubal assessment in infertile couple and is used as screening test, but laparoscopy is the “gold standard” of tubal disease diagnosis, but it is not used as screening test due to its invasiveness and it’s only used in special circumstances. Due to different results about concordance between these two methods, this study was undertaken. Objective: The aim of this study was to assess concordance between HSG and laparoscopy for tubal disease. Material and Methods: This is a prospective study and laparoscopy was done on 200 patients who underwent HSG for assessment of tubal disease from 1999-2002 in Alzahra hospital and then the sensitivity , specificity, positive predictive value and negative predictive value of HSG in tubal obstructive,hydrosalpinx and peritoneal adhesion was assessed. At last the concordance between two procedures was calculated. Results: The mean age was 28.55.1.The mean duration of infertility was 3.83.1 years. The results showed that the sensitivity and specificity of HSG in tubal obstruction and concordance with laparscopy are 60%, 81% and 36% respectively. The sensitivity and specificity of HSG in hydrosalpinx and concordance with laparoscopy are 23%, 95% and 23% respectively. The sensitivity and specificity of HSG in peritoneal adhesions, endomtriosis and concordance with laparoscopy are 37%, 79% and 17% respectively. Conclusion: Our results showed the HSG isn’t an accurate procedure for diagnosis of tubo-peritoneal pathology, It seems that not doing HSG by only one radiologist can intervene with the result because of different radiologist’s experience in taking film and reports of graphy, therefore it can lead to false interpretation. It’s suggested that another study for completing these results be carried out

Keywords: Hysterosalpigography, Infertility-Female, Laparoscopy, Peritoneal Cavity

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Review Paper: Research | Subject: Special
Received: 2014/02/9 | Accepted: 2014/02/9 | Published: 2014/02/9

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