Diagnostic and operative transvaginal hydrolaparoscopy for infertility and pelvic pain.
OBJECTIVE
To review our experience with diagnostic and operative transvaginal hydrolaparoscopy (THL), a procedure that is less invasive than operative laparoscopy.


METHODS
Prospective, observational cohort study (Canadian Task Force classification II-2).


METHODS
Private institute and university-affiliated hospital.


METHODS
Twenty-nine women with infertility and 11 with pelvic pain.


METHODS
Diagnostic and operative THL.


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.


CONCLUSIONS
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.
Moore
M L
ML
Advanced Women's Health Institute, University of Colorado Health Sciences Center, 210 University Boulevard, Suite 500, Denver, CO 80206, USA.
Cohen
M
M
D004715:Endometriosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D010535:Laparoscopy / Q000379:methods*; D017699:Pelvic Pain / Q000209:etiology*; D012965:Sodium Chloride / Q000008:administration & dosage
D012965:Sodium Chloride