TITLE:
Hysterosalpingographic Findings among Patients Undergoing Infertility Work-Up in Kisangani, Democratic Republic of the Congo
AUTHORS:
Jean-Didier Bosenge Nguma, Antoine Modia O’yandjo, Jeanot Juakali Sialikyolo, Gaston Litalema Liogo, Antoine Molua Aundu, Roger Amisi Kitoko, Gédeon Katenga Bosunga
KEYWORDS:
Hysterosalpingography, Female Infertility, Tubal Obstruction, Hydrosalpinx, Pelvic Adhesion, Uterine Fibroids
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.2,
February
28,
2019
ABSTRACT: Introduction: Hysterosalpingography is an important tool in the
investigation of the causes of female infertility. In developing countries such
as the Democratic Republic of Congo, the HSG is the basic tool for performing
first-line anatomical (pelvic) assessment. The aim of this study is to determine
the prevalence of the different lesions observed in hysterosalpingography
carried out during the assessment of infertile women monitored in Kisangani.
The study set also out to look for differences in these lesions according to
the type of infertility. Methods: This cross-sectional study was conducted
in Kisangani from June 2016 to December 2018. The 130 cases of hysterosalpingography performed for female
infertility assessment during the study period were included, of which 33.07%
for primary infertility and 66.93% for secondary infertility. Results: The
mean age of the patients was 33.52 ± 6.01 years; the history of pelvic
inflammatory disease was noted with a predominance for secondary infertility
(11% vs. 4.65%). Using hysterosalpingography, 7 (5.38%) patients had a normal
result; 94 (72.31%) had tubal obstruction; 25
(19.23%) had hydrosalpinx; 11 (8.46%) had uterine fibroids; pelvic adhesions were suspected in
12.64% of cases. There was no obvious association between all these lesions and
the type of infertility. Conclusion: We found that tubal obstructions
were the most prevalent lesions in this study, regardless of the type of
infertility. These lesions would reflect the high prevalence of septic
abortions and sexually transmitted infections in developing countries such as
the Democratic Republic of the
Congo.