Transvaginal salpingoscopy: an office procedure for infertility investigation.
OBJECTIVE
To evaluate the feasibility of salpingoscopy as an office procedure using transvaginal access to the pelvic cavity.


METHODS
Descriptive study.


METHODS
Gynecology office.


METHODS
Infertile women with no obvious pelvic pathology.


METHODS
Transvaginal Veress needle puncture and peritoneal distension by saline.


METHODS
Visualization of distal tubal segment. cannulation, and salpingoscopy.


RESULTS
The fimbriae were visualized in all patients. Cannulation of the distal tubal segment was achieved without manipulation of the tube in 20% before ovulation and 55% in the early luteal phase.


CONCLUSIONS
Transvaginal fimbrioscopy and salpingoscopy can be performed as an office procedure in patients without obvious pelvic pathology. In combination with hydrolaparoscopy and dye hydrotubation, the technique provides comprehensive screening of the tuboovarian structures in the early stage of infertility investigation.
Gordts
S
S
Leuven Institute for Fertility and Embryology, Belgium.
Campo
R
R
Rombauts
L
L
Brosens
I
I
D000556:Ambulatory Surgical Procedures / Q000379:methods*; D005187:Fallopian Tubes / Q000473:pathology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000175:diagnosis*; D010865:Pilot Projects; D000267:Tissue Adhesions / Q000473:pathology; D014621:Vagina