African experience of hysterosalpingography abnormalities tubes management by laparoscopy in infertile women

Mohamed Fanny, Edele Aka, Kacou Edèle Aka, Konan Perel, Luc Olou, Abdoul Koffi Koffi, S. Adjoussou, Konan Seni, Apollinaire Horo, Mamourou Kone
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2019 · vol. 8(11) , pp. 4271 · doi:10.18203/2320-1770.ijrcog20194842 · W2981384681
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This study evaluated laparoscopy's role in assessing and managing fallopian tube abnormalities identified by hysterosalpingography in infertile women in sub-Saharan Africa.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This retrospective study in a sub-Saharan African hospital (49 infertile women with tubo-peritoneal infertility) evaluated how hysterosalpingography (HSG) findings of fallopian tube pathology compared with diagnostic laparoscopy over a 2-year period, and how laparoscopy could inform prognosis and therapy. Laparoscopy identified predominant distal tubal damage (66.6%), including hydrosalpinx in 47%, with bilateral tubal patency seen in 77.5% at laparoscopy; reported concordance between HSG and laparoscopy was 63.1%, with sensitivity 63.6% and specificity 80%. Laparoscopy also enabled therapeutic interventions such as adhesiolysis or tubal plasty in 44.89% of cases, though the study notes these results reflect their retrospective single-center experience without broader comparative design. This paper is centrally about endometriosis and/or adenomyosis—specifically, it is not about those conditions, but it is included in the corpus via keyword match related to female pelvic/tubal infertility evaluation.

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Abstract

Background: Infertility affects about 80 million people worldwide and one in ten couples. The objective of this study was to report our experience of the contribution of laparoscopy in the diagnostic and prognostic approach of fallopian tubes pathology in infertile women in sub-Saharan Africa.Methods: We conducted a retrospective study in the Gynecology and Obstetrics unit of Yopougon Teaching Hospital over a 2-year period (January 1, 2017 to December 31, 2018) which included 49 cases of tubo-peritoneal infertility diagnosed by hysterosalpingography (HSG) then laparoscopy procedure.Results: The average age was 33 years old. 30.6 % were single. 75% had secondary infertility. 59.2% had a medical history of abortion. Pelvic Inflammatory Disease and pelvic surgery accounted 84.2% and 49 respectively. Laparoscopy showed a predominance of distal tubal damage (66.6%) whose 47% hydrosalpinx. Bilateral tubal patency was demonstrated in 77.5% of our patients during laparoscopy procedure. We observed a sensitivity, a specificity, and a concordance laparoscopy / HSG of 63.6%, 80% 63.1% respectively. Laparoscopy also allowed therapeutic procedures such as adhesiolysis or tubal plasty in 22 patients (44.89% of our cases). At the end of laparoscopy procedure, 35 patients (71.42%) were turned towards IVF.Conclusions: Laparoscopy allows an assessment of tubal abnormalities revealed by hysterosalpingography and the fertility prognostic as well as better therapeutic approach in management of tubal infertility.
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Background

Infertility affects about 80 million people worldwide and one in ten couples. The objective of this study was to report our experience of the contribution of laparoscopy in the diagnostic and prognostic approach of fallopian tubes pathology in infertile women in sub-Saharan Africa.

Methods

We conducted a retrospective study in the Gynecology and Obstetrics unit of Yopougon Teaching Hospital over a 2-year period (January 1, 2017 to December 31, 2018) which included 49 cases of tubo-peritoneal infertility diagnosed by hysterosalpingography (HSG) then laparoscopy procedure.

Results

The average age was 33 years old. 30.6 % were single. 75% had secondary infertility. 59.2% had a medical history of abortion. Pelvic Inflammatory Disease and pelvic surgery accounted 84.2% and 49 respectively. Laparoscopy showed a predominance of distal tubal damage (66.6%) whose 47% hydrosalpinx. Bilateral tubal patency was demonstrated in 77.5% of our patients during laparoscopy procedure. We observed a sensitivity, a specificity, and a concordance laparoscopy / HSG of 63.6%, 80% 63.1% respectively. Laparoscopy also allowed therapeutic procedures such as adhesiolysis or tubal plasty in 22 patients (44.89% of our cases). At the end of laparoscopy procedure, 35 patients (71.42%) were turned towards IVF.

Conclusions

Laparoscopy allows an assessment of tubal abnormalities revealed by hysterosalpingography and the fertility prognostic as well as better therapeutic approach in management of tubal infertility. Metrics

References

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