Role of combined hystero-laparoscopy in the evaluation of female infertility as one step procedure: a retrospective analytical study of 250 patients

Bettayya Ramesh, Shraddha Kurkuri
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 396–401 · doi:10.18203/2320-1770.ijrcog20160377 · W2253069366
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In 250 female infertility patients with normal initial evaluations, combined hystero-laparoscopy identified uterine septums and polyps via hysteroscopy alongside adnexal adhesions and endometriosis via laparoscopy.

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This retrospective study evaluated the diagnostic utility of combined hystero-laparoscopy in 250 women with primary or secondary infertility who had normal clinical and ultrasonographic findings. The researchers identified uterine septum and endometrial polyps as the most frequent intrauterine pathologies, while adnexal adhesions and endometriosis were the predominant abnormalities detected during laparoscopy in both patient groups. The authors concluded that this combined procedure is a safe and effective method for uncovering correctable pelvic abnormalities, thereby aiding decisions on whether assisted reproductive technology is necessary. Relevance to endometriosis: endometriosis is explicitly listed as one of the most common abnormalities detected via laparoscopy in these infertile patients, making the paper relevant to the condition's diagnosis in the context of infertility workups.

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Abstract

Background: Infertility is defined as a failure of a couple to conceive after having regular, unprotected sexual intercourse for one year. To determine the role of combined hystero-laparoscopy in the evaluation of female infertility patients with no significant clinical/ ultrasonography findings and to calculate the incidence of various pathological conditions in the female reproductive tract leading to infertility.Methods: This retrospective analytical study was done in 250 patients with primary and secondary infertility. It was conducted at our hospital from December 2014 to November 2015. We assessed the role of combined hystero-laparoscopy female infertility patients with no significant clinical/ ultrasonography findings and calculated the incidence of various pathological conditions in the female reproductive tract leading to infertility.Results: Out of 250 patients, 165 had primary and 85 had secondary infertility. The patients in secondary infertility group were older compared to primary group. The most common intrauterine pathology in both the groups was uterine septum. Next most common intrauterine lesion was endometrial polyp. Adnexal adhesions and endometriosis were the most common abnormalities detected in laparoscopy in both groups. The prevalence of unilateral and bilateral tubal block was almost equal in both groups. The operative interventions, both hysteroscopic and laparoscopic were also noted.Conclusions: Combined hystero-laparoscopy is a safe, effective and reliable method in comprehensive evaluation of female infertility. It is a very useful tool in detecting the correctable missed pelvic abnormalities in patients with the normal ovulation and semen analysis. It will also help us to take decision regarding the need for ART in required patients, thus avoiding further emotional and financial trauma to the couples.
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Background

Infertility is defined as a failure of a couple to conceive after having regular, unprotected sexual intercourse for one year. To determine the role of combined hystero-laparoscopy in the evaluation of female infertility patients with no significant clinical/ ultrasonography findings and to calculate the incidence of various pathological conditions in the female reproductive tract leading to infertility.

Methods

This retrospective analytical study was done in 250 patients with primary and secondary infertility. It was conducted at our hospital from December 2014 to November 2015. We assessed the role of combined hystero-laparoscopy female infertility patients with no significant clinical/ ultrasonography findings and calculated the incidence of various pathological conditions in the female reproductive tract leading to infertility.

Results

Out of 250 patients, 165 had primary and 85 had secondary infertility. The patients in secondary infertility group were older compared to primary group. The most common intrauterine pathology in both the groups was uterine septum. Next most common intrauterine lesion was endometrial polyp. Adnexal adhesions and endometriosis were the most common abnormalities detected in laparoscopy in both groups. The prevalence of unilateral and bilateral tubal block was almost equal in both groups. The operative interventions, both hysteroscopic and laparoscopic were also noted.

Conclusions

Combined hystero-laparoscopy is a safe, effective and reliable method in comprehensive evaluation of female infertility. It is a very useful tool in detecting the correctable missed pelvic abnormalities in patients with the normal ovulation and semen analysis. It will also help us to take decision regarding the need for ART in required patients, thus avoiding further emotional and financial trauma to the couples. Metrics

References

Mohr J, Lindemann HS. Hysteroscopy in the infertile patients. J. Reprod Med. 1977;19(3):161-2. Rice JP, London SN, Olive DL. Re-evaluation of hysterosalpingography in infertility investigation. Obstet Gynaecol. 1986;67(5):718-21. Yucebilgin MS, Aktan E, Bozkurt K, Kazandi M, Akercan F, Mgoyi L, et al. Comparison of hydrosonography and diagnostic hysteroscopy in the evaluation of infertile patients. Clin Exp Obstet Gynecol. 2004;31(1):56-8. Nayak PK, Mahapatra PC, Mallick JJ, Swain S, Mitra S, Sahoo J. Role of diagnostic hystero-laparoscopy in the evaluation of infertility: A retrospective study of 300 patients. J Hum Reprod Sci. 2013;6(1):32-4. Bettocchi S, Selvaggi L. A vaginoscopic approach to reduce the pain of office hysteroscopy. J Am Assoc Gynecol Laparosc. 1997;4:255-8. Gour A, Zawiejska A, Mettler L. Hysteroscopy - current trends and challenges. J Obstet Gynecol India. 2008;58(1):57-62. Wallach EE. The uterine factor in infertility. Fertil Steril. 1972;23:138-58. Brown SE, Coddington CC, Schnorr J, Toner JP, Gibbons W, Oehninger S. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: A prospective, randomized study. Fertil Steril. 2000;74:1029-34. Hinckley MD, Milki AA. 1000 office-based hysteroscopies prior to in vitro fertilization: Feasibility and findings. JSLS. 2004;8:103-7. Shalev J, Meizner I, Bar-Hava I, Dicker D, Mashiach R, Ben-Rafael Z. Predictive value of transvaginal sonography performed before routine diagnostic hysteroscopy for evaluation of infertility. Fertil Steril. 2000;73:412-7. Donnez J, Jadoul P. What are the implications of myomas on fertility? A need for a debate? Hum Reprod. 2002;17:1424-30. Kamiński P, Wieczorek K, Marianowski L. Usefulness of hysteroscopy in diagnosing sterility. Ginekol Pol. 1992;63:634-7. Pritts EA. Fibroids and infertility: A systematic review of the evidence. Obstet Gynecol Surv. 2001;56:483-91. Vollenhoven BJ, Lawrence AS, Healy DL. Uterine fibroids: A clinical review. Br J Obstet Gynaecol.1990;97:285-98. Shokeir TA, Shalan HM, EI-Shafei MM. Significance of endometrial polyps detected hysteroscopically in eumenorrheic infertile women. J Obstet Gynaecol Res. 2004;30:84-9. Vaid K, Mehra S, Verma M, Jain S, et al. Pan endoscopic approach “hysterolaparoscopy” as an initial procedure in selected infertile women. J Clin Diagn Res. 2014;8(2):95-8. Snowden EU, Jasset JC, Dawood MY. Comparison of diagnostic accuracy of laparoscopy, hysteroscopy and hysterosalpingography in evaluation of female infertility. Fertil Steril. 1984;41(5):709-13. Mol BW, Collins JA, Burrows EA, van der Veen F, Bossuyt PM. Comparison of hysterosalpingography and laparoscopy in predicting fertility outcome. Hum Reprod. 1999;14:1237-42. Jayakrishnan K, Koshy AK, Raju R. Role of laparohysteroscopy in women with normal pelvic imaging and failed ovulation stimulation with intrauterine insemination. J Hum Reprod Sci. 2010;3:20-4. Godinjak Z, Idrizbegovic E. Should diagnostic hysteroscopy is a routine procedure during diagnostic laparoscopy in infertile women. Bosn J Basic Med Sci. 2008;8:44-7. Tsuji I, Ami K, Miyazaki A, Hujinami N, Hoshiai H. Benefit of diagnostic laparoscopy for patients with unexplained infertility and normal hysterosalpingography findings. Tohoku J Exp Med. 2009;219:39-42.

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