Isah DA and Achem A
Introduction: The standard full complement for the investigation of an infertile couple in our environment can be very expensive. This usually necessitates that for a few couples investigating them maybe individualized based on their financial capability. Hysterosalpingography (HSG) and laparoscopy are the two classic methods available for evaluation of tubal pathology which is the commonest cause of infertility in Nigeria. However, while these tests can be complimentary it is usually common practice to reserve laparoscopy and dye test for women with inconclusive HSG or does with signs of tubal obstruction. An Intra-operative dye test is usually for patients’ under-going myomectomy to confirm patency of the fallopian tubes.
Aim: The study aims to find out if an intra-operative dye test has a higher accuracy as compared to a preoperative HSG in determining tubal blockage.
Methods and materials: It were a retrospective study carried out in university of Abuja teaching hospital. The case folders of all women who had myomectomy with an intra-operative dye test between January 2017 and May 2019 were retrieved and analyzed for data. A total of 187 myomectomies were done. Seventy-two of these cases had an intra- operative dye test done alongside to confirm the Hysterosalpingograph finding of bilateral tubal blockage.
Results: The age range with the highest number of visits to the clinic were between 30-34 years with 62.5% attendance. Nulliparous patients were more frequently seen at the clinic with 56 patients seen making 77.8% while multiparous patients were 16 in number making 22.2%. The intra-operative dye test was able to confirm 8 patent tubes out of the 72 which the HSG had suggested bilateral tubal blockage giving it an accuracy of 88.9%.