HYSTEROSALPINGOGRAPHY AND LAPAROSCOPY IN EVALUATING FALLOPIAN TUBES IN THE MANAGEMENT OF INFERTILITY IN COTONOU, BENIN REPUBLIC.

C Tshabu-Aguemon, Mathieu Ogoudjobi, M Ogoudjobi, A Obossou, Achille Awadé Afoukou Obossou, V King, Valerie King, I Takpara, E Alihonou
Journal of the West African College of Surgeons · 2015 · vol. 4(2) , pp. 66–75 · PMID:26587523 · PMC4500766 · W2474482406
article OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This study compared hysterosalpingography and laparoscopy in evaluating 96 infertile patients, finding laparoscopy superior for diagnosing proximal tubal obstruction, pelvic adhesive bands, and endometriosis.

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Abstract

INTRODUCTION: Hysterosalpingography, along with laparoscoy, are the most requested examinations for tubal factor exploration for infertility, in developing countries. OBJECTIVE: To compare the results of hysperosalpingography and laparoscopy in patients assessed for infertility. PATIENTS & METHODS: This was a 5 years retrospective, descriptive study done at the Obstetrics and Gynecology Clinic of the HKM Centre, National University Hospital. All the patients admitted for infertility of tubal origin were included. These included 96 patients who had undergone hysterosalpingography followed by laparoscopy. The analysis was done with the SPSS version 12.0.1. RESULT: The mean age of the patients was 33.3 years. Infertility was primary in 66.3% of cases and secondary in 33.7% of cases and the average duration was 48.9 months. Hysterosalpingography diagnosed 9.37% of proximal tubal obstruction while laparoscopy diagnosed same in 17.71%. Besides pelvic adhesive bands seen in 33.33% of cases, laparoscopy was able to visualize patent tubes with some pathology in 11.46%, and pelvic endometriosis in 6.25% of cases. CONCLUSION: The results of HSG and those of laparoscopy are complementary in tubal infertility evaluation. While HSG seems to be reliable when the tubes are patent, laparoscopy helps to reveal false tubal obstructions observed with HSG, and also helps in the diagnosis of pelvic adhesive bands and endometriosis.

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endometriosisinfertility

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