ASSESSMENT OF SSG (SALINE SONOSALPINGOGRAPHY) IN ASSESSING TUBAL PATENCY BY COMPARISON WITH CHROMOPERTUBATION IN LAPAROSCOPY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 42
Abstract
BACKGROUND Objective- To evaluate the test characteristics of transvaginal Saline Sonosalpingography (SSG) for the assessment of tubal patency to compare accuracy, positive predictive value and efficacy of sonosalpingogram with that of diagnostic laparoscopy in assessment of tubal patency. Assessing whether the fallopian tube is patent is part of initial evaluation in the procedure of seeking the cause of infertility. The incidence of the female infertility is 37%. The tubal factors account for 30% - 40%. MATERIALS AND METHODS A retrospective study was conducted at SVMCH, Ariyur, Pondicherry, in Department of Obstetrics and Gynaecology between June 2015 and March 2017. Tubal patency of 45 infertile women with previous unknown tubal function was assessed by transvaginal saline SSG at infertility clinic, SVMCH, Ariyur, Pondicherry. Main outcome measures were the prevalence, sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV), accuracy, false positive rate and false negative rate. RESULTS The results from transvaginal saline SSG were compared to the findings from the standard diagnostic laparoscopy with chromopertubation. Transvaginal saline SSG could detect tubal patency (Either unilateral or bilateral) with sensitivity, specificity, PPV, NPV and accuracy of 85.71%, 83.33%, 92.31%, 71.43% and 85% respectively. CONCLUSION The results confirm that transvaginal saline SSG is a simple, well-tolerated and reliable screening method for the assessment of tubal patency in an outpatient setting with minimal adverse effect. However, other confirmatory tests are required whenever bilateral tubal occlusion is suspected due to possible false negative finding
Authors and Affiliations
Govardhanan R, Sankareswar R
Keywords
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- EP ID EP214067
- DOI 10.14260/Jemds/2017/715
- Views 78
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