Transvaginal hydrolaparoscopic ovarian drilling using bipolar electrosurgery to treat anovulatory women with polycystic ovary syndrome.
OBJECTIVE
To verify the value, feasibility, and reliability of transvaginal hydrolaparoscopic ovarian drilling using the bipolar VersaPoint system to treat clomiphene-resistant, anovulatory women with polycystic ovary syndrome.


METHODS
Prospective clinical study (Canadian Task Force classification II-2).


METHODS
University teaching hospital.


METHODS
Twenty-eight women.


METHODS
Transvaginal hydrolaparoscopic ovarian drilling using the bipolar VersaPoint spring electrode.


RESULTS
After the surgical procedure, ovulation occurred spontaneously in 66.7% of women. Thirteen pregnancies occurred; eight were spontaneous, and four were achieved after induction of ovulation with clomiphene citrate and one after stimulation with gonadotropins. In 21 women whose infertility was due exclusively to anovulation, the cumulative pregnancy rate was 38% at 3 months and 76% at 6 months. No ovarian hyperstimulation or abortion occurred. The single complication was bleeding from an ovary that required conversion to laparoscopy.


CONCLUSIONS
Transvaginal hydrolaparoscopic ovarian drilling with the bipolar VersaPoint system is a useful therapeutic option in these women.
Casa
Alessandro
A
S. Pietro Fatebenefratelli Hospital, and Department of Gynecologic Surgery, University of Rome Tor Vergata, Rome, Italy.
Sesti
Francesco
F
Marziali
Massimiliano
M
Gulemì
Lorenza
L
Piccione
Emilio
E
D000328:Adult; D000858:Anovulation / Q000209:etiology / Q000601:surgery; D004598:Electrosurgery / Q000295:instrumentation / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D010060:Ovulation / Q000502:physiology*; D010062:Ovulation Induction / Q000379:methods*; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011446:Prospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014463:Ultrasonography; D014621:Vagina