title: Agreement between hysterosalpingography and laparoscopic chromopertubation in assessment of tubal patency.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Hospital de Cruses, Baracaldo, Vizcaya, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Matorras
authors.forename: F
authors.initials: F
authors.lastname: Rodriguez
authors.forename: C
authors.initials: C
authors.lastname: Pêrez
authors.forename: J I
authors.initials: JI
authors.lastname: Pijoan
authors.forename: A
authors.initials: A
authors.lastname: Echanojauregui
authors.forename: F J
authors.initials: FJ
authors.lastname: Rodriguez-Escudero
mesh_terms: 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
chemical_list: D004396:Coloring Agents; D008751:Methylene Blue