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U.S. physicians try fertioscopy with mixed results. (Evaluates Reproductive Structures, Pelvis).
SAN FRANCISCO -- Ob.gyns.at three U.S. centers experienced some difficulty in entering the abdominal cavity during their initial experience with fertiloscopy, a variation on transvaginal hydrolaparoscopy imported from France.
The procedure is designed to provide a thorough evaluation of reproductive structures and the posterior pelvis, including tubal assessment, through a combination of transvaginal hydropelviscopy; chromopertubation; salpingoscopy; microsalpingoscopy, when appropriate; and hysteroscopy.
The U.S. investigators successfully entered the abdominal cavity in 25 of the 32 cases, a lower rate than has been reported by European physicians. "I can't say that I have a good explanation for that other than the fact that we are learning how to do this," Dr. Duncan J. Turner said at the annual meeting of the American Association of Gynecologic Laparoscopists.
When entry failed, laparoscopy showed that the patients had adhesions, which may have contributed to the entry difficulties. In 88% of all cases, the procedure was performed to assess infertility; it was also used in patients with pelvic pain, polycystic ovaries, or other indications.
In the 25 cases with successful entry, investigators achieved complete visualization within the abdominal cavity in 23 cases. Findings were normal in 8 of the 25 patients, similar to rates reported from Europe, where 3,000 fertiloscopies have been performed in the past 3 years, said Dr. Turner of Santa Barbara, Calif.
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Source: HighBeam Research, U.S. physicians try fertioscopy with mixed results. (Evaluates...