Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

Authors

  • Burak Yucel Clinic of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul
  • Emine Demirel Department of Obstetrics and Gynecology, Katip Celebi University School of Medicine, Izmir
  • Sefa Kelekci Department of Obstetrics and Gynecology, Katip Celebi University School of Medicine, Izmir
  • Kerem Doga Seckin Clinic of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul
  • Osama Shawki Department of Obstetrics and Gynecology, Cairo University School of Medicine, Cairo

DOI:

https://doi.org/10.21613/GORM.2017.692

Abstract

Objective

The aim of this study was to evaluate the diagnostic accuracy of hysteroscopic chromopertubation (HCT) in the assessment of tubal patency by comparing its results with laparoscopic chromopertubation (LCT).

Study Design

The population of this prospective cohort study consisted of both fertile and infertile women. Sixty-four women were included to the study. HCT was assessed by the observation of the transport of highly concentrated methylene blue from uterine cavity to tubal ostia. The results of HCT were compared with the results of LCT as a gold standard. The accuracy of HCT, sensitivity, specificity, positive and negative predictive values in diagnosing tubal patency were calculated.

Results

The results of HCT and LCT were evaluated for right and left tubes, separately. One hundred and twenty-eight tubes were determined. Sensitivity, specificity, positive and negative predictive values for HCT were; 85.85%, 59.09%, 91% and 46.43%, respectively.

Conclusion

This study’s result showed that HCT had high sensitivity and moderate specificity values in the assessment of tubal patency. HCT during office hysteroscopy could give the chance to practitioners to assess tubal patency without subjecting the patient to multiple procedures.

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Published

2018-08-10

How to Cite

1.
Yucel B, Demirel E, Kelekci S, Seckin KD, Shawki O. Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation. Gynecol Obstet Reprod Med [Internet]. 2018Aug.10 [cited 2022Aug.14];24(2):82-6. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/692

Issue

Section

Reproductive Medicine: Endocrinology and Infertility

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