PDF EndNote BibTex RIS Kaynak Göster

Routine use of diagnostiv hysteroscopy in infertile patients

Yıl 2008, Cilt 39, Sayı 3, 111 - 115, 01.04.2008

Öz

Routine use of diagnostic hysteroscopy in infertile patients Objective: We examined the place of hysteroscopy in investigation ofbasic infertility. Material and Methods: To invastigate the uterine cavity, 53 primary infertile and 28 secondary infertile patients were evaluated by Endoscopic Surgery Clinic, which were referred from Assisted Reproductive Technics Unit and infertility polyclinic. We planned diagnostic hysteroscopy to 30 of 53 primary infertile patients because of abnormal hysterosalpingography findings, to 23 of 53 primary infertile patients as a part of infertility investigation and to all secondary infertile patients because of abnormal hysterosalpingography findings. Endometrial polyp, submucous myoma and intrauterine adhesions were inserted in acquired pathologies, mullerian abnormalities were inserted in congenital pathologies. Results: Diagnostic hysteroscopy was applied to 81 infertile patients. We met abnormal hysteroscopic findings in 29 (%54.7) primary infertile patients and in 16 (%57.1) secondary infertile patients. There was no determined statistically significant difference between primary and secondary infertile groups for abnormal hysteroscopy finding(p>0.05). The rate of abnormalities in primary infertile group were 11 endometrialpolyp, 3 submucous myoma, 4 intrauterine adhesions, 5 septate uterus,1 uterus didelphys, 1 bicornuate uterus, 1 unicornuate uterus, 2 arcuate uterus and 1 rudimenter horn-septate vagina. In secondary infertile group 8 endometrial polyp, 2 intrauterine adhesion, 3 septate uterus, 2 bicornuate uterus and 1 arcuate uterus were detected. Conclusion: Routine diagnostic hysteroscopy should bepart ofan infertility workup in infertile patients.

Kaynakça

  • 1. CummingDC, Taylor PJ. Combined laparoscopy and hysteroscopy in the investigation of the ovulatory female. Fertil Steril 1980;33:475-478
  • 2. Prevedourakis C, Loutradis D, Kalianidis C, Markis N, Asavantinos D. Hysterosalpingography and hysteroscopy in female infertility. Hum Reprod 1994;9:2353-2355
  • 3. Demirol A, Gürgan T. Effect of treatment of intrauterinepathologies with Office hysteroscopy in patients with recurrent IVF failure. Reprod Biomed Online 2004;8:590-594
  • 4. Krynicki E, Kaminski P, Szymanski R, et al. Comparison of hysterosalpingography with laparoscopy and chromopertubation. J Am Assoc GynecolLaparosc 1996;3:22-23
  • 5. Shushan A, Rojansky N. Should hysteroscopy be apart of the basic infertility workup? Hum Reprod 2000;7: 1650
  • 6. Preutthipan S, Linasmitav V. A prospective comparative study between hysterosalpingography and hysteroscopy in the detection of intrauterine pathology in patients with infertility. J Obstet Gyneacol Res 2003;29:33-37
  • 7. Soares SR, Barbosa dos Reis MM, Camagos AF. Diagnostic accuracy of sonohysterography, transvaginal sonography, and hysterosalpingography in patients with uterine cavitydiseases. Fertil Steril 2000;73:406-411
  • 8. Loverro G, Nappi L, Vicino M, Carriero C, Vmercati A, SelvaggiL. Uterine cavity assessment in infertile women: comparison of transvaginal sonography and hysteroscopy. Eur J Obstet Gynecol ReprodBiol 2001;100:67-71
  • 9. Prevedourakis C, Loutradis D, Kalianidis C, Makris N, Aravantinos D. Hysterosalpingography and hysteroscopy infernale infertility. Hum Reprod 1994;9:2353-2355
  • 10. Nagele F, O'Conner H, Davies A, Badawy A, MohamedH, Magos A. 2500 outpatient diagnostic hysteroscopies. Obstet Gynecol. 1996;88:87-92
  • 11. Brown SE, Coddington CC, Schnorr J, Toner JP, Gibbons W, Oehninger S. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography and hysterosalpingography in infertile women: aprospective, randomized study. Fertil Steril 2000;74:1029-1034
  • 12. Pansky M, Feingold M, Sagi R, Herman A, Schineider D, Halperin R. Diagnostic hysteroscopy as a primary tool in a basic infertility workup. JSLS 2006;10:231-235
  • 13. Shalev J, Meizner I, Bar-Hava I. Predictive value of transvaginal sonography performed before routine diagnostic hysteroscopy for evaluation of infertility. Fertil Steril 2000;73:412-417
  • 14. Shrokeir TA, Shalan HM, El-Shafei. Significance of endometrial polyps detected hysteroscopically in eumenorrheic infertile women. J Obstet Gynecol Res.2004;30:84-89
  • 15. Varasteh NN, Neuwirth RS, Levin B Keltz MD. Pregnancy rates after hysteroscopy polypectomy and myomectomy in infertile women. Obstet Gynaecol 1999;42:276- 289
  • 16. Sanders B. Uterine factors and infertility. J Reprod Med 2006;51:169-176
  • 17. Hinckley MD, Milki AA. 1000 office-based hysteroscopies prior to in vitro fertilization: feasibilty and findings. JSLS.2004;8:103-107.

İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı

Yıl 2008, Cilt 39, Sayı 3, 111 - 115, 01.04.2008

Öz

Amaç: Temel infertilite araştırmasında diagnostik histeroskopininyerini inceledik. Materyel ve Metod: Uterin kavitenin değerlendirilmesi amacıyla hastanemiz Yardımcı Üreme Teknikleri Ünitesi ve infertilite polikliniğinden endoskopik cerrahi kliniğimize refere edilen 53 primer infertil ve 28 sekonder infertil hasta retrospektif olarak değerlendirildi. Primer infertil grupta 23 hastaya infertilite araştırmasının bir parçası olarak, 30 hastaya anormal histerosalpingografi bulgusu endikasyonu ile; sekonder infertil grupta ise hastaların tümüne anormal histerosalpingografi bulgusu endikasyonu ile tanısal histeroskopi yapıldı. Endometrialpolip, submuköz myom ve intrauterin adhezyonlar edinsel anomali, mülleryen anomaliler konjenital anomali olarak kabul edildi. Bulgular: 81 hastanın tümüne diagnostik histeroskopi yapıldı. Primer infertil grupta 29 (%54.7) hastada anormal histeroskopi bulgusuna rastlanırken, sekonderinfertilgrupta 16 (%57.1) hastada anormal histeroskopi bulgusu saptandı. Primer ve sekonder infertil hasta grupları arasında anormal histeroskopi bulgusu açısından istatistiksel olarak anlamlı farklılık saptanmadı (p>0.05). Primer infertil grupta intrauterin patolojilerin dağılımı 11 endometrial polip, 3 submuköz myom, 4 intrauterin adhezyon, 5 uterin septum, 1 didelfis uteri, 1 bicornuat uterus, 1 unicornuat uterus, 2 arcuat uterus ve 1 rudimenter horn + vajinal septum olup; sekonder infertil grupta bu bulguların dağılımı 8 endometrial polip, 2 intrauterin adhezyon, 3 uterin septum, 2 bikornuat uterus, 1 arkuat uterus şeklindeydi. Sonuç: İnfertil hastalarda rutin diagnostik histeroskopi infertilite araştırmasının birparçası olmalıdır.

Kaynakça

  • 1. CummingDC, Taylor PJ. Combined laparoscopy and hysteroscopy in the investigation of the ovulatory female. Fertil Steril 1980;33:475-478
  • 2. Prevedourakis C, Loutradis D, Kalianidis C, Markis N, Asavantinos D. Hysterosalpingography and hysteroscopy in female infertility. Hum Reprod 1994;9:2353-2355
  • 3. Demirol A, Gürgan T. Effect of treatment of intrauterinepathologies with Office hysteroscopy in patients with recurrent IVF failure. Reprod Biomed Online 2004;8:590-594
  • 4. Krynicki E, Kaminski P, Szymanski R, et al. Comparison of hysterosalpingography with laparoscopy and chromopertubation. J Am Assoc GynecolLaparosc 1996;3:22-23
  • 5. Shushan A, Rojansky N. Should hysteroscopy be apart of the basic infertility workup? Hum Reprod 2000;7: 1650
  • 6. Preutthipan S, Linasmitav V. A prospective comparative study between hysterosalpingography and hysteroscopy in the detection of intrauterine pathology in patients with infertility. J Obstet Gyneacol Res 2003;29:33-37
  • 7. Soares SR, Barbosa dos Reis MM, Camagos AF. Diagnostic accuracy of sonohysterography, transvaginal sonography, and hysterosalpingography in patients with uterine cavitydiseases. Fertil Steril 2000;73:406-411
  • 8. Loverro G, Nappi L, Vicino M, Carriero C, Vmercati A, SelvaggiL. Uterine cavity assessment in infertile women: comparison of transvaginal sonography and hysteroscopy. Eur J Obstet Gynecol ReprodBiol 2001;100:67-71
  • 9. Prevedourakis C, Loutradis D, Kalianidis C, Makris N, Aravantinos D. Hysterosalpingography and hysteroscopy infernale infertility. Hum Reprod 1994;9:2353-2355
  • 10. Nagele F, O'Conner H, Davies A, Badawy A, MohamedH, Magos A. 2500 outpatient diagnostic hysteroscopies. Obstet Gynecol. 1996;88:87-92
  • 11. Brown SE, Coddington CC, Schnorr J, Toner JP, Gibbons W, Oehninger S. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography and hysterosalpingography in infertile women: aprospective, randomized study. Fertil Steril 2000;74:1029-1034
  • 12. Pansky M, Feingold M, Sagi R, Herman A, Schineider D, Halperin R. Diagnostic hysteroscopy as a primary tool in a basic infertility workup. JSLS 2006;10:231-235
  • 13. Shalev J, Meizner I, Bar-Hava I. Predictive value of transvaginal sonography performed before routine diagnostic hysteroscopy for evaluation of infertility. Fertil Steril 2000;73:412-417
  • 14. Shrokeir TA, Shalan HM, El-Shafei. Significance of endometrial polyps detected hysteroscopically in eumenorrheic infertile women. J Obstet Gynecol Res.2004;30:84-89
  • 15. Varasteh NN, Neuwirth RS, Levin B Keltz MD. Pregnancy rates after hysteroscopy polypectomy and myomectomy in infertile women. Obstet Gynaecol 1999;42:276- 289
  • 16. Sanders B. Uterine factors and infertility. J Reprod Med 2006;51:169-176
  • 17. Hinckley MD, Milki AA. 1000 office-based hysteroscopies prior to in vitro fertilization: feasibilty and findings. JSLS.2004;8:103-107.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Ebru ÇÖĞENDEZ Bu kişi benim


Suna SOĞUKTAŞ Bu kişi benim


Kemal ALTINKAŞ Bu kişi benim


Akif ALKAN Bu kişi benim


Sadiye EREN Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2008
Yayınlandığı Sayı Yıl 2008, Cilt 39, Sayı 3

Kaynak Göster

Bibtex @ { zktipb236928, journal = {Zeynep Kamil Tıp Bülteni}, issn = {1300-7971}, eissn = {2148-4864}, address = {}, publisher = {Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH}, year = {2008}, volume = {39}, number = {3}, pages = {111 - 115}, doi = {10.16948/zktb.09479}, title = {İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı}, key = {cite}, author = {Çöğendez, Ebru and Soğuktaş, Suna and Altınkaş, Kemal and Alkan, Akif and Eren, Sadiye} }
APA Çöğendez, E. , Soğuktaş, S. , Altınkaş, K. , Alkan, A. & Eren, S. (2008). İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı . Zeynep Kamil Tıp Bülteni , 39 (3) , 111-115 . Retrieved from https://dergipark.org.tr/tr/pub/zktipb/issue/22068/236928
MLA Çöğendez, E. , Soğuktaş, S. , Altınkaş, K. , Alkan, A. , Eren, S. "İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı" . Zeynep Kamil Tıp Bülteni 39 (2008 ): 111-115 <https://dergipark.org.tr/tr/pub/zktipb/issue/22068/236928>
Chicago Çöğendez, E. , Soğuktaş, S. , Altınkaş, K. , Alkan, A. , Eren, S. "İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı". Zeynep Kamil Tıp Bülteni 39 (2008 ): 111-115
RIS TY - JOUR T1 - İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı AU - EbruÇöğendez, SunaSoğuktaş, KemalAltınkaş, AkifAlkan, SadiyeEren Y1 - 2008 PY - 2008 N1 - DO - T2 - Zeynep Kamil Tıp Bülteni JF - Journal JO - JOR SP - 111 EP - 115 VL - 39 IS - 3 SN - 1300-7971-2148-4864 M3 - UR - Y2 - 2022 ER -
EndNote %0 Zeynep Kamil Tıp Bülteni İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı %A Ebru Çöğendez , Suna Soğuktaş , Kemal Altınkaş , Akif Alkan , Sadiye Eren %T İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı %D 2008 %J Zeynep Kamil Tıp Bülteni %P 1300-7971-2148-4864 %V 39 %N 3 %R %U
ISNAD Çöğendez, Ebru , Soğuktaş, Suna , Altınkaş, Kemal , Alkan, Akif , Eren, Sadiye . "İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı". Zeynep Kamil Tıp Bülteni 39 / 3 (Nisan 2008): 111-115 .
AMA Çöğendez E. , Soğuktaş S. , Altınkaş K. , Alkan A. , Eren S. İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı. Zeynep Kamil Tıp Bülteni. 2008; 39(3): 111-115.
Vancouver Çöğendez E. , Soğuktaş S. , Altınkaş K. , Alkan A. , Eren S. İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı. Zeynep Kamil Tıp Bülteni. 2008; 39(3): 111-115.
IEEE E. Çöğendez , S. Soğuktaş , K. Altınkaş , A. Alkan ve S. Eren , "İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı", Zeynep Kamil Tıp Bülteni, c. 39, sayı. 3, ss. 111-115, Nis. 2008, doi:10.16948/zktb.09479