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Prolapse, Urogynecology & Infections

Question
30 out of 30
 

Endosalpingitis is best diagnosed by (AIPG 2008)



A Hystero laparoscopy
B X-Ray abdomen

C Hysterosalpingography
D Sono salpingography

Ans. A
Hystero laparoscopy

1. Hystero-Laparoscopy also called laparo-hysteroscopy is a procedure in which the tubes can be examined under direct vision with an endoscope and if the pelvis looks inflamed then the best place to take a biopsy for culture is the tubal end. Same holds true for the diagnosis of endo-salpingitis.

2. X-Ray abdomen is too gross a procedure and informs mostly anatomical problems of the pelvis.

3. HSG is a procedure which will inform regarding the tubal patency and outlines the uterine anatomy along with uterine polyps and fibroids.

4. There may be some filling defects in the tube recognized with a good HSG if there is Endosalpingitis but it does not prove the diagnosis as is done by a direct tubal culture.

5. Sono salpingography is an assessment of the tubal patency by perfusing the uterus and therefore the tubes while observing the uterus and the pouch of Douglas by an ultrasound. This procedure is good for the diagnosis of tubal patency but not for infections.

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