Risk and outcome of bowel injury during transvaginal pelvic endoscopy.
OBJECTIVE
To determine the risk and outcome of bowel injury associated with new techniques of transvaginal pelvic endoscopy.


METHODS
A multinational retrospective survey based on confidential, self-reported cases.


METHODS
Tertiary referral centers for infertility.


METHODS
Infertile patients without obvious pelvic pathology.


METHODS
Transvaginal hydrolaparoscopy and fertiloscopy.


METHODS
Full-thickness bowel injury.


RESULTS
Thirty-nine responders reported a total of 24 bowel injuries (0.65%) in 3667 procedures. After initial experience, the prevalence of bowel injury was 0.25%. All of the injuries were diagnosed during the procedure. Twenty-two (92%) of the cases were managed without consequences.


CONCLUSIONS
The bowel lesion caused by the new techniques of transvaginal pelvic endoscopy tends to be minor and under strict conditions can be treated expectantly.
Gordts
S
S
Leuven Institute for Fertility and Embryology, Leuven, Belgium.
Watrelot
A
A
Campo
R
R
Brosens
I
I
D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects* / Q000379:methods; D007247:Infertility, Female / Q000175:diagnosis; D007422:Intestines / Q000293:injuries*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires