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Hysterosalpingography Observations in Female Genital Tuberculosis with Infertility
BACKGROUND: Hysterosalpingography (HSG) is radiographic evaluation of uterine cavity and tubal patency. AIMS: The aim of this study was to evaluate the safety and utilisation of HSG in female genital tuberculosis (FGTB) with infertility. SETTINGS AND DESIGN: The study was conducted in a tertiary ref...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10077740/ https://www.ncbi.nlm.nih.gov/pubmed/37033134 http://dx.doi.org/10.4103/jhrs.jhrs_111_22 |
Sumario: | BACKGROUND: Hysterosalpingography (HSG) is radiographic evaluation of uterine cavity and tubal patency. AIMS: The aim of this study was to evaluate the safety and utilisation of HSG in female genital tuberculosis (FGTB) with infertility. SETTINGS AND DESIGN: The study was conducted in a tertiary referral centre of North India. MATERIALS AND METHODS: It was a prospective study on 87 cases of FGTB with infertility. Diagnosis of FGTB was made by composite reference standard using the presence of acid-fast bacilli on microscopy/culture or positive GeneXpert, positive polymerase chain reaction or epithelioid granuloma on endometrial biopsy or definitive or probable findings on laparoscopy or hysteroscopy. STATISTICAL ANALYSIS USED: Suitable statistical methods were used with STATA software version 12.0. RESULTS: HSG findings were normal in 49 (56.32%) cases. There were filling defects in 14 (16.09%), short and shrunken cavity in 4 (4.49%), intrauterine synechiae in 14 (16.09%), T-shaped cavity in 3 (3.44%) and deformed uterine cavity in 5 (5.74%) cases. Fallopian tube findings were hydrosalpinx in 12 (13.79%) and 11 (12.64%) cases, beading of tube in 4 (4.59%) and 2 (2.29%) cases, pipestem appearance in 2 (2.29%) cases each and Maltese cross appearance in 3 (3.44%) and 2 (2.29%) cases, respectively. Tubal blockage was seen in 69 (79.31%) and 67 (77.01%) cases being cornual block in 28 (32.18%) and 26 (29.88%) cases, mid-tubal block in 16 (18.39%) and 15 (17.24%) cases, multiple blocks in 10 (11.49%) and 12 (13.79%) cases and fimbrial block in 15 (17.24%) and 14 (16.09%) cases. None of the cases had flare-up of the disease after HSG in the current study. CONCLUSION: HSG is a useful modality in FGTB with infertility. |
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