Agreement between hysterosalpingography and laparoscopic chromopertubation in assessment of tubal patency.
BACKGROUND
To assess the agreement between tubal patency assessed by laparoscopy with chromopertubation and by hysterosalpingography using contrast media.


METHODS
University Medical School.


METHODS
314 consecutive women subjected to laparoscopy and hysterosalpingography for an infertility study.


METHODS
Prospective study.


METHODS
Chromopertubation using Methylen blue dye, performed on days 20-24. Hysterosalpingography performed on days 7-10 with water soluble contrast.


METHODS
Kappa coefficient calculation.


RESULTS
Kappa coefficient ranged from 0.40 to 0.36, depending on the categories analyzed, corresponding to a fair agreement.


CONCLUSIONS
The diagnosis of tubal factor requires that both tubal patency tests (Hysterosalpingography and laparoscopy) show an abnormal patency. When one of the aforementioned tests is normal, performing the second one has little clinical advantage. However, it is suggested that when there is a discordant patency the pregnancy rates could be somewhat reduced.
Matorras
R
R
Department of Obstetrics and Gynecology, Hospital de Cruses, Baracaldo, Vizcaya, Spain.
Rodriguez
F
F
Pêrez
C
C
Pijoan
J I
JI
Echanojauregui
A
A
Rodriguez-Escudero
F J
FJ
D000328:Adult; D004396:Coloring Agents; D005186:Fallopian Tube Patency Tests; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D010535:Laparoscopy; D008751:Methylene Blue; D011237:Predictive Value of Tests; D011247:Pregnancy; D011446:Prospective Studies
D004396:Coloring Agents; D008751:Methylene Blue