Prognostic, diagnostic and therapeutic value of hysterosalpingography after salpingostomy in patients with hydrosalpinx

Barakat, Mohamed; Abohashim, Mohamed Fathy; Mansor, Ahmed Elsayed; Harb, Ola A.; Abdallah, Amany M; Hamed, Enas Mahmoud; Eladl, Mona Mahmoud; Abdelrahman, Amr Ahmed

doi:10.21608/zumj.2024.287561.3376

	Prognostic, diagnostic and therapeutic value of hysterosalpingography after salpingostomy in patients with hydrosalpinx
Zagazig University Medical Journal
Article 30, Volume 30, Issue 7, October 2024, Page 3495-3504 PDF (802.61 K)
Document Type: Original Article
DOI: 10.21608/zumj.2024.287561.3376
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Authors
Mohamed Barakat¹; Mohamed Fathy Abohashim²; Ahmed Elsayed Mansor²; Ola A. Harb ³; Amany M Abdallah⁴; Enas Mahmoud Hamed⁵; Mona Mahmoud Eladl⁵; Amr Ahmed Abdelrahman²
¹Lecturer of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University
²assistant professor of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University
³zagazig university Egypt
⁴assistant professor of Family Medicine, Faculty of Medicine, Egypt
⁵Lecturer of Clinical Radiology, Faculty of Medicine, Zagazig University
Abstract
Objective: There are few studies which assess the therapeutic role of salpingostomy and HSG in patients with hydrosalpinx regarding rates and outcomes of pregnancy. So, aim of the present report is to assess therapeutic effects of salpingostomy and diagnostic and therapeutic effects of HSG after salpingostomy in patients with hydrosaplinx. Patients and Methods: We assessed clinical findings of 60 patients diagnosed with hydrosalpinx and underwent HSG before and after performing laparoscopic salpingostomy Results: There is statistically significant relation between improvement of oviduct and pregnancy time ( (p-0.007). Rates of spontaneous pregnancies were 46.88% in the improvement group, versus 13.33% in the non- improvement group. Rates of pregnancy in both groups were statistically significant (p=0.028). Average time to pregnancy in the improvement group was 13 (11–15) months and in the non-improvement group was 16 (14-18) months. Conclusions: Performing HSG after laparoscopic salpingostomy might be a good choice for treatment of infertile patients diagnosed with hydrosalpinx.
Keywords
hysterosalpingography; salpingostomy; hydrosalpinx


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