Journal of minimally invasive gynecology · 2005
Feasibility and clinical significance of endoluminal assessment by transvaginal salpingoscopy during transvaginal hydrolaparoscopy in infertile women.
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Suzuki Tatsuya, Shibahara Hiroaki, Hirano Yuki, Fujiwara Hiroyuki, Takamizawa Satoru, Suzuki Mitsuaki
Аннотация
STUDY OBJECTIVE: To investigate the feasibility and clinical usefulness of transvaginal salpingoscopy (TS) during transvaginal hydrolaparoscopy (THL) in infertile women.
DESIGN: Retrospective study (Canadian Task Force classification II-3).
SETTING: Jichi Medical School, Tochigi, Japan.
PATIENTS: One hundred thirty infertile women, aged 22 to 43 years, who underwent THL.
INTERVENTIONS: Transvaginal salpingoscopy findings in comparison with THL findings.
MEASUREMENTS AND MAIN RESULTS: Transvaginal salpingoscopy could be performed in 41.0% of the attempted tubes. In comparing rates of successful TS in relation to tubal patency, tubal morphology, and past Chlamydia trachomatis infection, patent tubes and normal-appearing tubes classified with normal morphology had a significantly higher TS success rate. However, past C. trachomatis infection did not affect the success of TS. There was a significant correlation between salpingoscopic and laparoscopic findings; however, there were no significant correlations between salpingoscopic findings and C. trachomatis antibody titers.
CONCLUSIONS: These findings suggest that TS can be performed simultaneously in some infertile women undergoing THL especially those with patent tubes or with normal-appearing tubes. Further studies are required to show the usefulness of intratubal exploration in assessing tubal infertility.
DESIGN: Retrospective study (Canadian Task Force classification II-3).
SETTING: Jichi Medical School, Tochigi, Japan.
PATIENTS: One hundred thirty infertile women, aged 22 to 43 years, who underwent THL.
INTERVENTIONS: Transvaginal salpingoscopy findings in comparison with THL findings.
MEASUREMENTS AND MAIN RESULTS: Transvaginal salpingoscopy could be performed in 41.0% of the attempted tubes. In comparing rates of successful TS in relation to tubal patency, tubal morphology, and past Chlamydia trachomatis infection, patent tubes and normal-appearing tubes classified with normal morphology had a significantly higher TS success rate. However, past C. trachomatis infection did not affect the success of TS. There was a significant correlation between salpingoscopic and laparoscopic findings; however, there were no significant correlations between salpingoscopic findings and C. trachomatis antibody titers.
CONCLUSIONS: These findings suggest that TS can be performed simultaneously in some infertile women undergoing THL especially those with patent tubes or with normal-appearing tubes. Further studies are required to show the usefulness of intratubal exploration in assessing tubal infertility.