Results

Diagnosis of genital TB was made by histopathological evidence of TB granuloma in 304 (98.38%) women, demonstration of acid-fast bacilli (AFB) on microscopy in 3(0.009%), positive AFB culture in 7 (0.22%), positive GeneXpert MTB/RIF assay in 3 (0.009%). Some of them had positive findings in more than a laboratory test. Surprisingly, 5.50% (17/300) of the 309 individuals with laboratory-proven TB had a normal appearance on hysteroscopy, and 1.29% (4/309) had a normal-looking pelvis on laparoscopy. Nonetheless, no individual presented with both unremarkable hysteroscopic or laparoscopic results. The major findings on hysteroscopy (Figure 1-3) were periosteal fibrosis (209/309,67.63%), and pale endometrium(179/309,57.92%) and micro polyp(138/309,44.66%). Other notable hysteroscopic findings were intrauterine adhesions (88/309,28.47%), endometrial tubercle (78/309,25.24%), endometrial polyp(54/309,14.88%), caseation(42/309,13.59%), focal hyperemia(29/309,9.38%) and diffuse hyperemia(18/309,5.82%). The most common finding on laparoscopy was abdominopelvic adhesions of various grades (297/309,96.11%).(Figure 4) The major findings of laparoscopy (Figure 5 to 9) were tubercle (155/309,50.16%), isthmo ampullary block (118/309,38.18%), tubal diverticula (116/309,37.54%), hydrosalpinx (97/309,31.39%) and TO mass (96/309,31.06%). Other considerable findings on laparoscopy were encysted fluid (64/309,20.71%), beaded appearing tubes(48/309,15.53%), fimbrial agglutination(39/309,1262%), omental caking(31/309,10.03%), thick cornu (27/309,8.73%), rigid tube(21/309,6.79%) and complete tubal destruction(5/309,1.61%).