Correlation Between AFS Classification Systems of Adnexal Adhesions and Distal Tubal Occlusion, Tubal Mucosa at Salpingoscopy and Reproductive Outcome of the Patient
From November 1988 to December 1991, 45 infertile patients underwent salpingo-ovariolysis and/or salpingoneostomy during laparotomy or laparoscopy. Findings at surgery were scored according to the AFS classification. Salpingoscopy was performed to evaluate the status of the ampullary mucosa. The mean age of the patients was 29.5 years and the mean length of infertility prior to surgery was 4.4 years. All patients were contacted by phone to obtain information on reproductive outcome with a minimum period of 18 months of follow-up. Statistical analysis of data was performed using the Fisher's exact test. AFS scores were not correlated with reproductive outcome, while the status of the tubal mucosa at salpingoscopy was significantly correlated with reproductive outcome.
Marana
R
Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Largo F. Vito 1, 00168 Rome, Italy.
Catalano
GF
Muzii
L
Rizzi
M
Mancuso
S