Prevalencia de hidrosalpinx en pacientes con diagnóstico de enfermedad pélvica inflamatoria atendidas en el Hospital de Especialidades Teodoro Maldonado Carbo en el periodo 2017-2020.

Abstract

Pelvic inflammatory disease (PID) is one of the most frequent pathologies that affects the reproductive health of women, who are at risk of short- and longterm complications, including hydrosalpinx. In Ecuador, according to the National Institute of Statistics and Censuses (INEC) in 2020, pelvic inflammatory disease presented 1,742 hospital discharges, also reported that the age range with the highest incidence was 30 to 34 years. Objective: to determine the prevalence of hydrosalpinx in patients diagnosed with pelvic inflammatory disease. Methodology: This study was carried out using the synthetic analytical method, with a descriptive, observational, retrospective and cross-sectional design. The sample includes 655 patients treated with a diagnosis of pelvic inflammatory disease who were treated at the HTMC in the period 2017-2020. Results: Of the total number of subjects investigated, 49.9% presented major criteria for the diagnosis of PID, while the remaining 50.1% presented major and minor criteria. And of these, 98% did not suffer from hydrosalpinx, while 2% of cases did. The most frequent chronic complication of PID was chronic pelvic pain (10.4%) and the most frequent risk factor associated with hydrosalpinx were pelvic and/or uterine adhesions (53.8%). Conclusion: The prevalence of hydrosalpinx in patients with PID is 2%, the most frequent chronic complication of PID is chronic pelvic pain and the risk factor most associated with hydrosalpinx is pelvic and/or uterine adhesions.