Diagnostic and operative transvaginal hydrolaparoscopy for infertility and pelvic pain

Michael L. Moore, M L Moore, Moore ML, Cohen M, M Cohen
The Journal of the American Association of Gynecologic Laparoscopists · 2001 · vol. 8(3) , pp. 393–397 · doi:10.1016/s1074-3804(05)60337-4 · PMID:11509780 · W2062935094
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This study evaluated transvaginal hydrolaparoscopy as a diagnostic and operative tool for infertility and pelvic pain, detailing its application and outcomes.

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Abstract

STUDY OBJECTIVE: To review our experience with diagnostic and operative transvaginal hydrolaparoscopy (THL), a procedure that is less invasive than operative laparoscopy. DESIGN: Prospective, observational cohort study (Canadian Task Force classification II-2). SETTING: Private institute and university-affiliated hospital. PATIENTS: Twenty-nine women with infertility and 11 with pelvic pain. INTERVENTIONS: Diagnostic and operative THL. MEASUREMENTS AND MAIN RESULTS: Thirty-five (88%) diagnostic THLs were performed in the office and the other five were done in hospital for insurance reasons; all six operative THLs were performed in the office under conscious sedation. The procedure was conclusive (all organs seen) in 37 patients (93%). Based on THL, no further surgical intervention was recommended in 18 (62%) infertile women and 5 (45%) of those with pain. Further surgical intervention was required in 5 (56%) of 9 infertility patients with a previous normal hysterosalpingogram (HSG) and 6 (32%) of 19 infertility patients with no previous HSG. CONCLUSION: Transvaginal hydrolaparoscopy can be performed in the office with minimal pain, with a conclusive examination anticipated in 93% of cases. The procedure is more accurate than HSG and similar to laparoscopy.

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Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Genital Diseases, Female Genital Diseases, Female Infertility, Female Laparoscopy Pelvic Pain Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Female Female Genital Diseases, Female Genital Diseases, Female Humans Humans Infertility, Female Infertility, Female Laparoscopy Laparoscopy

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