Tubal factors in sterility: a laparoscopic study of 697 cases of sterility
Krishna, U.R.; Sathe, A.V.; Mehta, H.; Wagle, S.; Purandare, V.N.
Journal of Obstetrics and Gynaecology of India 29(3): 663-667
1979
ISSN/ISBN: 0971-9202 PMID: 12335925 Document Number: 442137
Of 697 cases of sterility, 491 had primary sterility and 206 secondary. The subjects' uterus, tubes, ovaries, pouch of Douglas and the pelvis were visualized. 26.4% had chronic pelvic inflammatory disease with tubal damage responsible for infertility. 17.5% had complete bilateral blocked tubes. 3% had partial block with delayed spill of the dye. 10% had pelvic tuberculosis. 12.8% of the primary sterility cases and 4.3% of the secondary cases had tuberculosis. Cases with frank tubercles and caseation were diagnosed as tuberculosis. Only 31% of the cases with pelvic pathology would have been diagnosed with clinical examination alone. Laparoscopy is preferable when chronic pelvic infection, especially tuberculosis, is suspected.