Ultrasonography and Hysterosalphynography Reliable in the Diagnosis of Hydrosalpinx?

INTRODUCTION: Although the first step evaluation of infertile patients with uterine cavity and fallopian tubes is ultrasonography (USG), hysterosalpingography (HSG) is widely used because it is cheap, easily accessible and easy to interpret, although other advanced and effective methods are available at the next stage. In our study, we aimed to evaluate the correlation of HSG and USG with laparoscopy of patients with hydrosalpinx presumptive diagnosis and to show whether HSG and USG are superior to each other in hyphrosalpinx diagnosis.
METHODS: Between August 1, 2015 and April 1, 2017, 48 patients who were admitted to our obstetric gynecology out patient clinic for infertility, or who underwent hydrosalpinx in USG were included in the study.All patients underwent laparoscopy under general anesthesia. Laparoscopy was used to evaluate the incidence of free methylene blue in both tuba. Correlation of HSG or USG result with laparoscopy result was assessed as false diagnosis of HSG or USG. In the case of pathological findings on laparoscopy, HSG or USG diagnosis was accepted correctly.
RESULTS: Of the 48 patients, 30 were primer infertile 18 were secondary to infertile. 26 patients were considered hydrosalpinx with HSG. Hydrosalpinx was confirmed in 15 (57.7%) of the patients after laparoscopy. Twenty-five patients underwent laparoscopy with USG and hydrosalpinx anterior diagnosis. In 17 (68%) hydrosalpinx was confirmed. In 3 patients, both USG and HSG had hydrosalpinx. The correlation of USG findings with laparoscopy was evaluated in these patients. There was no statistically significant difference between the diagnostic accuracy of HSG (57.7%) and the diagnostic accuracy of USG (68%) (P = 0.638).
DISCUSSION AND CONCLUSION: USG and HSG, which are the first-line evaluations of infertility, can diagnose hydrosalpinx cheaply and easily.