Patterns of Hysterosalpingographic Findings at a Tertiary Hospital in South-South, Nigeria:
A Three Year Review
Keywords:
Hysterosalpingography, Infertility, Contrast-ImagingAbstract
Introduction: Hysterosalpingography (HSG) is an investigative tool for assessing the morphology of the uterine cavity and more importantly tubal patency in the routine workup of infertile females. This study aimed to highlight the indications for this imaging technique and the patterns of its findings at Delta State University Teaching Hospital, Oghara.
Materials and methods: A cross-sectional review of one hundred and seventy-five reports of women referred to the Radiology department for HSG over a 3-year period; January 2012 - December 2014.
Results: Infertility was by far the most common indication for undergoing an HSG; as seen in 145 (82%) of the women studied. Secondary infertility was the predominant type of infertility accounting for 127 (87.6%) of all cases of infertility for HSG. While nearly half of all HSG records, 79 (45.4%) showed tubal blockage, four-fifths (80.4%) had abnormal-sized uterus.
Conclusion: HSGs done at DELSUTH showed a wide array of findings. Infertility was the most common indication for referral as was the case in many similar studies from developing countries. Tubal blockage and abnormal uterine size were the most common findings and although suspected uterine anomaly was the indication for over a tenth of the referrals, there was no case of congenital anomaly detected among the patients in this three-year review.
References
Crofton M. Gynaecological Imaging. In: Sutton D, ed. Textbook of Radiology and Imaging. 7th ed. India: Churchill Livingstone, Elseviere; 2009:1069-1105.
Santhalia PK, Gupta M, Uprety D, et al. Role of Radiographic Hysterosalpingography in Infertility in Eastern Nepal. Nepal J Radiol. 2013;3(4):59-66.
Bello TO. Pattern of Tubal Pathology in Infertile Women on Hysterosalpingography in Ilorin , Nigeria. Ann Afr Med. 2004;3(2):77-79.
Chapman S, Nakielny R. A Guide to Radiological Procedures. 4th ed. China: Saunders; 2001.
Imo AOC, Sunday-Adeoye I. Radiological assessment of the uterus and fallopian tubes in infertile women at Abakaliki, Nigeria. Niger J Clin Pract. 2008;11(3):211-215.
Lim CP, Hasafa Z, Bhattacharya S, M a h e s h w a r i A . S h o u l d a hysterosalpingogram be a first-line investigation to diagnose female tubal
subfertility in the modern subfertility workup? Hum Reprod. 2011;26(5):967-971. 7. Akinola R a, Akinola OI, Fabamwo a O. I n f e r t i l i t y i n w o m e n : Hysterosalpingographic assessment of the fallopian tubes in Lagos , Nigeria. Educ Res Rev. 2009;4(3):86-89.
Bukar M, Mustapha Z, Takai UI, Tahir A. Hysterosalpingographic Findings in Infertile Women: a Seven Year Review. Niger J Clin Pract. 2011;14(2):168-170.
Eleje G, Okaforcha E, Umeononihu O, Udegbunam O, Etoniru I, Okwuosa A. Hysterosalpingographic Findings Among Infertile Women: Review at a Tertiary Health Care Institution in Nnewi, South-east Nigeria. AFRIMEDIC J. 2012;3(2):20-23.
Aremu A, Adekanle D, Asaleye C, Adetiloye V. Hysterosalpingography Tubal Infertility in an Environment with Non Liberalized Abortion Law. Res J Med Sci. 2012;6(3):142-144.
Danfulani M, Mohammed MS, Ahmed SS, Haruna YG. Hysterosalphingographic findings in women with infertility in Sokoto North Western Nigeria. 2014;13(1):19-23.
Igashi J, Joseph D, Joseph G, et al. Hysterosalpingography: A Re-Emerging Study in Health Care Transformation. IOSR J Dent Med Sci. 2014;13(12):37-40.
Kiridi EK, Ibrahim IA, Lawani L. Hysterosalpingography : Still relevant in the evaluation of infertility in the Niger Delta. 2015;4(1):0-4.
Mesbahi S, Pourissa M, Refahi S, T a b a r r a e i Y , D e h g h a n M . Hysterosalpingographic Abnormalites in Infertile women. 2009;4(4):430-432.
Schankath AC, Fasching N, Urech-Ruh C, Ho h l M K, Ku b i k -Hu c h RA. Hysterosalpingography in the workup of female infertility: indications, technique and diagnostic findings. Insights Imaging. 2012;3(5):475-483.
Esmaelzadeh S, Rezaei N, HajiAhmadi M. Normal uterine size in women of reproductive age in northern Islamic Republic of Iran. East Mediterr Heal J. 2004;10(3):437-441.
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