Korean J Obstet Gynecol.  2008 Feb;51(2):220-224.

Analysis of salpingeal patency in young-aged women underwent diagnostic laparoscopy with Fitz-High-Curtis Syndrome

• Bae JS
• Choe YJ
• Jung MH

Abstract

OBJECTIVE
To analyze the tubal patency in the young-aged women underwent diagnostic laparoscopy with Fitz-High-Curtis Syndrome (FHCS).
METHODS
Clinicopathologic results of young-aged women who underwent diagnostic laparoscopy with pelvic inflammatory disease from March 2005 through April 2007 were reviewed. Twenty six patients aged 19-29 years old and preserved their both tubes after diagnostic laparoscopy were included in this study. All were underwent chromopertubation test (CPT) during laparoscopy and postoperative hysterosalpingography (HSG) 3 months later.
RESULTS
Of 26 patients, eight patients were diagnosed with FHCS and the others were not. There was no significant difference in mean age, mean hospitalization days, and frequency in past-history of parturition, abortion, chlamydia and gonococci infection between patients with FHCS and with non-FHCS (P>0.05). There was no significant difference in frequency of tubal obstruction in laparoscopic CPT (P>0.05) but not in postoperative outpatient HSG (P<0.05).
CONCLUSION
The tubal obstruction may be more frequent in FHCS than non-FHCS and the reliability of laparoscopic CPT for diagnosing the tubal obstruction is supposed to be low. Therefore, as for FHCS patients, HSG should be executed to investigate tubal factor which is helpful to forecast the fertility.

Keyword

Fitz-Hugh- Curtis Syndrome; Pelvic inflammatory disease; Fertility

MeSH Terms

Aged
Chlamydia
Fallopian Tube Diseases
Female
Fertility
Hospitalization
Humans
Hysterosalpingography
Laparoscopy
Outpatients
Parturition
Pelvic Inflammatory Disease