Combined diagnostic approach of laparoscopy and hysteroscopy in the evaluation of XXXX : results of 612 @entity1 .

@entity1 @entity5280 @entity249 @entity9814
AIM: To clarify the role of a combined diagnostic approach using laparoscopy and hysteroscopy in the evaluation of @entity9814 in developing countries. METHODS: In a prospective study, 612 consecutive infertile @entity1 underwent complete fertility evaluation at a tertiary university @entity249 clinic: 300 complained of @entity249 , 221 of secondary @entity249 , and 91 were requesting reversal of a previous tubal ligation. All the @entity1 were examined by simultaneous combined laparoscopy and hysteroscopy as a part of their routine @entity249 evaluation. Focused hysteroscopic evaluation of the region of utero-tubal junction was attempted. RESULTS: Laparoscopy was successful in 608 and hysteroscopy in 597 @entity1 . The most frequent pathologies detected hysteroscopically in the infertile group were adhesive in nature and believed to be post-traumatic and/or post-phlogistic. The number of intrauterine abnormalities found by hysteroscopy was significantly greater than by hysterosalpingography. The rate of diagnosis of significant lesions by laparoscopy of 64.3% rose to 76.6% when the hysteroscopic findings were included. A significant number of @entity1 with secondary @entity249 had abnormal hysteroscopic findings when compared to either @entity1 with @entity249 or those requesting sterilization reversal. Hysteroscopic evaluation of the region of utero-tubal junction revealed significant lesions believed to have caused @entity249 in comparison with those requesting sterilization reversal. CONCLUSION: The combined diagnostic approach of laparoscopy and hysteroscopy is recommended in the evaluation of @entity9814 in communities where the risk of @entity5280 is great.
