Diagnostic accuracy of transvaginal hydrolaparoscopy in infertility.
OBJECTIVE
To determine whether the accuracy of transvaginal hydrolaparoscopy is comparable to that of standard laparoscopy for the diagnosis of infertility.


METHODS
Prospective, comparative study.


METHODS
General hospital in Belgium.


METHODS
Ten infertile patients without obvious pelvic pathology.


METHODS
Two gynecologists independently performed transvaginal hydrolaparoscopy and standard laparoscopy and reported the observations in a confidential manner to a third person.


METHODS
Endometriosis, adhesions, and other pelvic pathology related to infertility.


RESULTS
Minimal or mild endometriosis was diagnosed in seven patients and sequelae of pelvic inflammatory disease in one patient at both procedures. The interobserver agreement for tuboovarian adhesions was 95% at transvaginal hydrolaparoscopy and 74% at standard laparoscopy. Ovarian adhesions were detected in 63% at transvaginal hydrolaparoscopy and in 37% at standard laparoscopy.


CONCLUSIONS
Transvaginal hydrolaparoscopy is comparable in accuracy to standard laparoscopy for the diagnosis of adhesions and endometriosis in infertile patients without obvious pathology.
Campo
R
R
Leuven Institute of Fertility and Embryology, Belgium.
Gordts
S
S
Rombauts
L
L
Brosens
I
I
D004715:Endometriosis / Q000150:complications / Q000175:diagnosis; D005184:Fallopian Tube Diseases / Q000175:diagnosis; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis* / Q000209:etiology; D010535:Laparoscopy / Q000379:methods*; D010049:Ovarian Diseases / Q000175:diagnosis; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000175:diagnosis; D012680:Sensitivity and Specificity; D000267:Tissue Adhesions / Q000150:complications / Q000175:diagnosis