Evaluation of Role of Hysteroscopic Selective Chromotubation in Proximal Tubal Blockage in Infertility

ABSTRACT Aim The aim of the study was to evaluate the role of hysteroscopic selective chromotubation in proximal tubal blockage in infertility patients. Materials and methods Infertility patients with documented proximal tubal block on hysterosalpingography (HSG), after standard investigations, were enrolled in this study after proper informed written consent. After detailed work up and evaluation, all the patients underwent conventional laparoscopic chromotubation under general anesthesia. Patients with tubal blockage even after conventional chromotubation underwent hysteroscopic selective chromotubation and the results were compared. In this procedure, tubal patency of each tube was evaluated one after another by injecting the dye directly in the ostia through the cannula under hysteroscopic guidance. Results Out of the 27 tubes which were found to be blocked even after conventional laparoscopic chromotubation, selective chromotubation revealed free spillage of dye in 44.4% of these tubes. On comparison, only 25% tubes were patent after conventional laparoscopic chromotubation, whereas 50% tubes were patent after selective chromotubation. This difference was statistically significant (p = 0.003). Conclusion Hysteroscopic selective chromotubation is a better diagnostic test for tubal patency than conventional laparoscopic chromotubation. How to cite this article Bharti J, Das B, Anand HP. Evaluation of Role of Hysteroscopic Selective Chromotubation in Proximal Tubal Blockage in Infertility. J South Asian Feder Obst Gynae 2015;7(2):51-54.