Correlation Between Salpingoscopic Score and Subsequent Pregnancy Outcome in Patients with Tubal Infertility

Purpose: This study evaluated the efficacy of the salpingoscopic scoring system of tubal function.

Twenty-seven infertile patients, including 10 patients with proximal tubal occlusion, 12 with endometriosis and 5 with inflammatory hydrosalpinx, were studied. All 54 tubes were examined using a 0.5-mm-diameter salpingoscope and scored.

The mean scores for patients with proximal tubal occlusion, endometriosis, and inflammation were 18.6 ± 2.0, 15.6 ± 0.7, and 20.8 ± 3.4, respectively. Eight patients (29.6 %) conceived; their mean tubal score was 12.6 ± 0.5 (12–16). Nineteen patients did not conceive, and their mean score was 18.8 ± 1.4 (12–31). There was a significant difference between these two scores (P < 0.001).

Scoring of the tubes by salpingoscopic examination is useful for evaluating tubal function with regard to prediction of pregnancy and also for selecting IVF or tubal reconstructive surgery as the preliminary treatment. Similar content being viewed by others

Westrom L: Incidence, prevalence and trends of acute pelvic inflammatory disease and its consequences in industrialized countries. Am J Obstet Gynecol 1980;138:880–892 American Fertility Society: The American Fertility Society classifications on adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies, and intrauterine adhesions. Fertil Steril 1988;49:944–955 Kerin J, Williams D, San Roman G, Pearlstone A, Grundfest W, Surrey E: Falloposcopic classification and treatment of fallopian tube disease. Fertil Steril 1992;57:731–741 Mage G, Pouly J-L, de Joliniere JB, Chabrand S, Riouallon A, Bruhat MA: A preoperative classification to predict the intrauterine and ectopic pregnancy rates after distal tubal microsurgery. Fertil Steril 1986;46:807–810 Hulka JF: Adnexal adhesions. A prognostic staging and classification system based on a five-year survey of fertility surgery results at Chapel Hill, North Carolina. Am J Obstet Gynecol 1982;144:141–148 Surrey ES, Surrey MW: Correlation between salpingoscopic and laparoscopic staging in the assessment of the distal fallopian tube. Fertil Steril 1996;65:267–271 Bowman MC, Cooke ID: Comparison of fallopian tube intraluminal pathology as assessed by salpingoscopy with pelvic adhesions. Fertil Steril 1994;61:464–469 Dubuisson J, Chapron C, Morice P, Aubriot F, Foulot H, de Joliniere J: Laparoscopic salpingostomy. Fertility results according to the tubal mucosal appearance. Hum Reprod 1994;9:334–339 Scudamore I, Dunphy B, Bowman M, Jenkins J, Cooke I: Comparison of ampullay assessment by falloposcopy and salpingoscopy. Hum Reprod 1994;9:1516–1518 Herschlag A, Seifer D, Carcangiu M, Patton D, Diamond M, DeCherney A: Salpingoscopy. Light microscopic and electron microscopic correlations. Obstet Gynecol 1991;77:399–405 Kawakami S: Disorder of ciliated cells in endosalpinx and fertility. J Clin Electron Microsc 1987;20:5–8 Marana R, Catalano GF, Rizz M, Camana P, Muzu L, Mancuso S: Correlation between the American Fertility Society classifications of adnexal adhesion and distal tubal occlusion, salpingoscopy, and reproductive outcome in tubal surgery. Fertil Steril 1995;64:924–929 Gomel V, Taylor PJ: In vitro fertilization versus reconstructive tubal surgery. J Assist Reprod Genet 1992;9:306–309 Author information Authors and Affiliations Rights and permissions About this article Cite this article Sawada, T., Tsukada, K., Satoh, M. et al. Correlation Between Salpingoscopic Score and Subsequent Pregnancy Outcome in Patients with Tubal Infertility. J Assist Reprod Genet 14, 562–565 (1997). https://doi.org/10.1023/A:1022572432753 Issue date: DOI: https://doi.org/10.1023/A:1022572432753