Office transvaginal hydrolaparoscopy for early diagnosis of pelvic endometriosis and adhesions.
STUDY OBJECTIVE. To evaluate the feasibility of a new endoscopic technique, transvaginal hydrolaparoscopy, for early office screening of subfertile women. DESIGN. Retrospective, descriptive feasibility study (Canadian Task Force classification II-2).


METHODS
Office in an infertility center.


METHODS
One hundred fifty-seven continuous women with primary or secondary subfertility.


METHODS
Under local anesthesia, a Veress needle-cannula system was inserted into the posterior fornix with peritoneal distention by saline.


RESULTS
Access was achieved in 95% of patients. In 58.5% the findings were normal and in 28% an explorative or operative laparoscopy was indicated. No major complication occurred. Patients' pain scores were similar to those for office hysteroscopy.


CONCLUSIONS
Transvaginal hydrolaparoscopy was successfully performed in the office. The technique allows early and complete endoscopic screening of subfertile women.
Gordts
S
S
Leuven Institute for Fertility and Embryology, Tiensevest 168, B-3000 Leuven, Belgium.
Campo
R
R
Brosens
I
I
D000553:Ambulatory Care; D000772:Anesthesia, Local; D004715:Endometriosis / Q000175:diagnosis*; D005184:Fallopian Tube Diseases / Q000175:diagnosis; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis*; D010535:Laparoscopy / Q000379:methods*; D010049:Ovarian Diseases / Q000175:diagnosis; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis*