Pathological Findings of Infertile Women

Who Underwent Laparoscopy in dr.

Mohammad Hoesin General Hospital

Kesty C., Abadi A., Saleh I., Nurtjahyo A

Obstetrics and Gynecology Department, dr.

Mohammad Hoesin General Hospital Palembang
(RSMH)
 Performin
g therapy
Diagnosing Informing
Background pathology prognosis
Objective

Laparoscopy
Methods

Results

Conclusion

INFERTILITY
Background

Objective
To determine the
pathological findings of
Methods infertile women who
Results
underwent laparoscopy
Conclusion
 • Descriptive study
• Cross-sectional design
Study Design
Background

Objective • Medical records of Obsgyn Department of RSMH

Palembang
Source
Methods

Results
• Reproductive age women who underwent laparoscopy
Sample from 1st November 2010 until 31st October 2013
Conclusion
 Reproductive
age women
Undergoing
laparoscopy
Background

Objective Infertile

Methods
Incomplete
No uterus medical
Results record

Conclusion Research Subject

N = 206
Background
Endometriosis Cyst
Objective

Pathologica
Methods l Findings

Results
Uterine myoma Tubal function

Conclusion
 ENDOMETRIOSIS
Endometriosis Frequency (N) Percentage (%)
Yes 108 52.4
Background
No 98 47.6

Objective
45 41.7
40
35
Methods 30
25
20
24.1
Results 15 15.7
10 8.3
5 10.2
0
Conclusion Unknown
I
II
III
IV
N = 108
 CYST
60 55.8

50

Background 40

30
Objective 21.8
20
20.4
10
Methods
0
No 1.9
Results Endo cyst
Other cyst
Endo + other
cyst
Conclusion

N = 206
 UTERINE MYOMA
90
80 84.5

Background 70
60
50
Objective
40
30
Methods 20 15.5
10
0
Results
Yes
Tidak Ada
Conclusion

N = 206
 CHROMATUBATION

Background No; 10.2

Objective

Methods
Yes; 89.8
Results

Conclusion

N = 206
 TUBAL FUNCTION
58.9
60

Background50
40

Objective 30
20
14.1
Methods 10
11.4 15.6
0
Results Bilateral patent
Unilateral patent
Non patent
No data
Conclusion

N = 206
 THE NUMBER OF PATHOLOGICAL
FINDINGS
45 42.7
Background 40
35 34
30
Objective 25
20 15.5
15
Methods 10
5
6.8
0
Results 0
1 1
2
3
4
Conclusion

N = 206
 One Pathological Finding
Non patent tube
9.1
Background Unilateral
patent tube
9.1
Endometriosis
Objective Uterine myoma 39.8
14.8

Methods Other cyst

27.3

Results

Conclusion

N = 88
 THREE PATHOLOGICAL FINDINGS
50 47.1
45
40
Background
35
30
Objective 25
20
15
Methods 10 10 8.6
10 7.1 5.7
5 2.9 2.9 1.4 1.4 1.4 1.4
Results 0
E+ E+ E + OC + E + E + E + UM + UM + OC + OC + EC +
EC UPT OC NPT UM NPT (EC + UPT NPT UM UPT UPT
OC)
Conclusion
Notes:
E: Endometriosis OC: Other cyst
EC: Endometriosis cyst NPT: Non-patent tube
UPT: Unilateral patent UM: Uterine myoma
tube N = 70
 THREE PATHOLOGICAL FINDINGS
40
35.7
35
Background 30 28.6
25
Objective 20
15 14.3

Methods 10 7.1 7.1 7.1

5
Results 0
E + EC + E + EC + E+ E + EC + E + OC + OC + UM +
UPT UM (EC+OC) + NPT UPT NPT
UM
Conclusion
Notes:
E: Endometriosis UM: Uterine myoma
EC: Endometriosis cyst OC: Other cyst
UPT: Unilateral patent NPT: Non-patent tube
tube N = 14
 Majority of infertile women who
underwent laparoscopy suffered from 4th
degree endometriosis, followed by cyst,
tubal function disorder, and uterine
myoma

Background

Objective Chromotubation was done in 89.8%

cases
Methods

Results 1 PF  endometriosis
2 PF  endometriosis + endometriosis
cyst
Conclusion 3 PF  endometriosis + endometriosis
cyst + unilateral patent tube