TITLE:
The Interest of Endoscopy in the Diagnosis of Fallopian Tubes Diseases at the Yaoundé Gyneco-Obstetric and Pediatric Hospital (Ygoph)
AUTHORS:
Cyrille Léger Abega, Claude Cyrille Noa Ndoua, Irène Nadine Kouna Tsala, Arielle Fonkou, Gladys Ngono Ateba, Tobie Eric Ntsobe, Jean Cédric Fouda, Rosine Mafoma, Pascal Foumane
KEYWORDS:
Fallopian Tube, Endoscopy, Hysterosalpingography, Ultrasound
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.4,
April
28,
2023
ABSTRACT: Introduction: Fallopian diseases are often implicated in female infertility. Several
radiological and surgical explorations have been proposed in order to evaluate
the severity of lesions found in utero-adnexal pathology. Among tools that are
used to investigate such pathologies, we have ultrasound, hysterosalpingography
and endoscopy.
But, in many developing countries like Cameroon, the usage of endoscopy in
gynecology is not yet known by many practicians. The objective of our study was
to show the interest of endoscopy in the diagnosis of fallopian tube
pathologies. Methodology: We conducted a cross-sectional and descriptive study from March 1st,
2017 to May 31st, 2017 at the Gyneco-Obstetrics and Pediatric
department of our Hospital. We included all women who presented infertility and
underwent ultrasound, hysterosalpingography (HSG) and endoscopy at the Yaoundé
Gyneco-obstetrics Hospital. We analyzed epidemiological parameters, clinics,
ultrasound, hysterosalpingography and
endoscopic finding. We used Cohen’s Kappa test to determine the
correlation between HSG/endoscopy and ultrasound/endoscopy in the diagnosis of fallopian tube pathologies. The threshold was
significant for a K-value > 0.20. Results: We got a sample of 156
women; the mean age was 32.6 ± 4.5 years. The Secondary
infertility dominated in 66.7% of cases; 31.1% of women presented a past medical history of sexually transmitted infections and
41.7% did abortions before. Endoscopic lesions were dominated by a fallopian obstruction in
54.5% of cases, 8.3% of adhesions, 33.9% of women presented uterine myomas, 37.8% of ovarian
cysts and 1.3% of pelvic endometriosis. The K-values
between HSG and endoscopy for distal and proximal tube obstructions were
significant with respective thresholds of 0.25 and 0.30. The K-value between
ultrasound and endoscopy was not significant with a threshold of 0.015 for the
tubal hydrosalpinx. Conclusion: Endoscopy assessment appears as the most
efficient tool to investigate fallopian tube diseases.