TITLE:
Retrograde Dye Test for the Assessment of Tubal Patency in a Virgin: A Case Report and Review of Literature
AUTHORS:
A. O. Ojabo, A. A. Adesiyun, Amina Mohammed-Durosinlorun, M. Maanongun, P. O. Eka, S. K. Hembah-Hilekaan
KEYWORDS:
Tubal Patency Assessment, Retrograde Dye Test, Myomectomy, Virginity
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.4,
April
23,
2018
ABSTRACT: Background: Hysterosalpingogram (HSG) and
Laparoscopy and dye tests for tubal assessment for a virgin who places high premium on her virginity could be
challenging. Routine HSG may result in loss or damage to the hymen and loss of
virginity. Aim: The
aim of the procedure of retrograde dye test was explored to see the possibility
of assessing tubal patency during laparotomy. Case Presentation: At
laparotomy and after myomectomy in a 32 year old virgin, a moderate sized
Wilkinson’s cannula was gently inserted at the fimbrial end of the both tubes
and 50mls of dilute Methylene-Blue solution was injected in each tube at a time
to see whether the dye will appear at the vagina introitus. There
was no resistance to flow of the dye in both tubes. Inspection of the vaginal
introitus revealed a gush of dye flowing through it as the dye was introduced
through each tube confirming the patency of both tubes. Conclusion: Retrograde
dye test at the time of abdominal procedures like myomectomy, pelvic
adhesiolysis and excision of endometriotic cyst can be cost effective. This
procedure is also useful in assessing tubal patency for women who undergo
laparotomy and also wish to preserve their virginity.