Hysteroscopic Evaluation of Tubal Patency: A Single Center Experience

Bozhena Saar- Ryss Ahmed Namazov Iris Harel Eyal E Anteby Ofer Gemer
Gynecology and IVF Department, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University, Israel

Objective:
To assess diagnostic accuracy of hysteroscopic” bubble test” in the evaluation of tubal patency

Material and Methods:
The records of 20 women with the diagnosis of infertility that underwent hysterosalpingography and hysteroscopy were retrospectively studied. The results of hysteroscopy were compared with previous hysterosalpingography. The physician performing the hysteroscopy was blinded to the results of hysterosalpingography.

Results:
The mean age of women was 34.3 ± 5.8. Totally 40 fallopian tubes were evaluated. The mean time of interval between hysterosalpingography and hysteroscopy was 13 ± 11.6 months. The sensitivity and the specificity of hysteroscopy in the diagnosis of ”patent tube” was 90% and 100%, respectively. Three distal tubal occlusions that where observed in hysterosalpingography, were also confirmed by hysteroscopic bubble test. Hysterosalpingography revealed proximal occlusion in two tubes, both also were confirmed by hysteroscopy.

Conclusion:
Our findings affirm that during infertility evaluation, in addition to uterine cavity assessment, a hysteroscopic bubble test also could evaluate the patency of fallopian tubes.