ACCURACY OF HYSTEROSALPINGOGRAPHY AND LAPAROSCOPIC HYDROTUBATION IN DIAGNOSIS OF TUBAL PATENCY

Objective: To compare the diagnostic accuracy of two methods of assess ment of tubal patency, viz, hysterosalpingography (HSG) and laparoscop ic hydrotubation. Design: One hundred four infertile women who were in vestigated with both HSG and laparoscopy in King Khalid University Hos pital were selected for the study. Complete history of factors that ma y predispose to tubal occlusion was obtained. Patients with problems o f ovulatory failure or poor semen analysis that may contribute to thei r infertility were excluded. Results: The overall agreement between th e two methods was 62.5%. However, the diagnostic accuracy of the two m ethods differed significantly. Conclusion: It would appear that laparo scopic hydrotubation, despite its invasive nature, had an edge in diag nostic accuracy when compared with HSG. It would be advantageous to su bject patients in whom HSG has shown tubal blockage to laparoscopy or any of the newer techniques of hysteroscopy or sonographic hydrotubati on.