The Interest of Endoscopy in the Diagnosis of Fallopian Tubes Diseases at the Yaoundé Gyneco-Obstetric and Pediatric Hospital (Ygoph)

Introduction: Fallopian diseases are often implicated in female infertility. Several radiological and surgical explorations have been proposed order to evaluate the severity of lesions found utero-adnexal pathology. Among tools that used investigate such pathologies, we ultrasound, hysterosalpingography endoscopy. But, many developing countries like Cameroon, usage endoscopy gynecology is not yet known by practicians. The objective our study was show interest diagnosis fallopian tube pathologies. Methodology: We conducted a cross-sectional descriptive from March 1st, 2017 May 31st, at Gyneco-Obstetrics Pediatric department Hospital. included all women who presented infertility underwent (HSG) Yaoundé Gyneco-obstetrics analyzed epidemiological parameters, clinics, endoscopic finding. Cohen’s Kappa test determine correlation between HSG/endoscopy ultrasound/endoscopy threshold significant for K-value > 0.20. Results: got sample 156 women; mean age 32.6 ± 4.5 years. Secondary dominated 66.7% cases; 31.1% past medical history sexually transmitted infections 41.7% did abortions before. Endoscopic were obstruction 54.5% cases, 8.3% adhesions, 33.9% uterine myomas, 37.8% ovarian cysts 1.3% pelvic endometriosis. K-values HSG distal proximal obstructions with respective thresholds 0.25 0.30. ultrasound 0.015 tubal hydrosalpinx. Conclusion: Endoscopy assessment appears as most efficient tool diseases.