GENITAL TRACT TUBERCULOSIS AMONG INFERTILE WOMEN: LAPAROSCOPIC EVALUATION
Nezar, M., Anwar, K., EI-Negery, M., EI-Saied, M., Fattah, R., Goda, H., Wahab, A. (2006). GENITAL TRACT TUBERCULOSIS AMONG INFERTILE WOMEN: LAPAROSCOPIC EVALUATION. EKB Journal Management System, 10(1), 17-23. doi: 10.21608/egyfs.2006.4993
Mohamed Nezar; Kamal Anwar; Mohamed EI-Negery; Miasa EI-Saied; Rafaat Fattah; Hosam Goda; Ali Wahab. "GENITAL TRACT TUBERCULOSIS AMONG INFERTILE WOMEN: LAPAROSCOPIC EVALUATION". EKB Journal Management System, 10, 1, 2006, 17-23. doi: 10.21608/egyfs.2006.4993
Nezar, M., Anwar, K., EI-Negery, M., EI-Saied, M., Fattah, R., Goda, H., Wahab, A. (2006). 'GENITAL TRACT TUBERCULOSIS AMONG INFERTILE WOMEN: LAPAROSCOPIC EVALUATION', EKB Journal Management System, 10(1), pp. 17-23. doi: 10.21608/egyfs.2006.4993
Nezar, M., Anwar, K., EI-Negery, M., EI-Saied, M., Fattah, R., Goda, H., Wahab, A. GENITAL TRACT TUBERCULOSIS AMONG INFERTILE WOMEN: LAPAROSCOPIC EVALUATION. EKB Journal Management System, 2006; 10(1): 17-23. doi: 10.21608/egyfs.2006.4993

GENITAL TRACT TUBERCULOSIS AMONG INFERTILE WOMEN: LAPAROSCOPIC EVALUATION

The Egyptian Journal of Fertility of Sterility
Article 3, Volume 10, Issue 1, January 2006, Page 17-23  XML PDF (505.55 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2006.4993
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Authors
Mohamed Nezar1; Kamal Anwar2; Mohamed EI-Negery2; Miasa EI-Saied3; Rafaat Fattah1; Hosam Goda2; Ali Wahab4
1Obstetrics & Gynecology Departments, Faculty of Medicine, Mansoura University, Egypt.
2Obstetrics & Gynecology Departments, Faculty of Medicine, Mansoura University, Egypt.
3Clinical Pathology,Faculty of Medicine, Mansoura University, Egypt.
4Pathology Departments,Faculty of Medicine, Mansoura University, Egypt.
Abstract
Objective: To estimate the incidence of genital tract tuberculosis (T.B.) among infertile women during laparoscopic
evaluation for infertility in Mansoura University Hospital.
Design: A prospective study.
Setting: Obstetrics & Gynecology, Pathology and Clinical Pathology Departments, Faculty of Medicine, Mansoura
University.
Methods: Two hundreds and ten infertile WOmen were evaluated by laparoscopy for infertility problem from January
2002 to September 2004. Any suspicious findings for 1'.8. adnexitis Or peritonitis were biopsied, and whole
endometrial curettage was taken for histopathology. A confirmatory test P.C.R. was performed form peritoneal fluid
samples and tissue biopsies.
Results: The incidence of genital tract TB. as diagnosed by laparoscopy and confirmed by tissue biopsy was 5.7%
among infertile women in Mansoura University Hospital. Laparoscopic findings and direct tissue biopsy had the
highest sensitivity and specificity (92-94%) followed by P.C.R (83-85%) and lastly endometrial biopsy (75-80%) for
diagnosis ofTB.. The incidence of TB. increased among rural. low socioeconomic and low educational level patients.
Conclusion: Genital T.B.has still a role in the aetiopathogenesis of infertility in our community. Laparoscopy and
direct tissue biopsy is the gold standard for diagnosis.
Keywords
Genital tract; tuberculosis; Infertility; Laparoscopy
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