Office hydrolaparoscopy for the diagnosis of endometriosis and tubal infertility

Brosens I, I Brosens, Ivo Brosens, Jan J. Brosens, R CAMPO, Campo R, Rudi Campo, S. Gordts, Stephan Gordts, Gordts S
Current opinion in obstetrics & gynecology · 1999 · vol. 11(4) , pp. 371–377 · doi:10.1097/00001703-199908000-00003 · PMID:10498023 · W2313222531
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

Office-based transvaginal hydrolaparoscopy, performed under local anesthesia, allows diagnosis of endometriosis and adhesions by inspecting the tubo-ovarian structures in fluid.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-26 · read from full text ⓘ

This paper describes transvaginal hydrolaparoscopy as an office-based diagnostic procedure suitable for evaluating infertility, performed under local anesthesia or sedation via transvaginal saline instillation. The technique allows for the inspection of tubo-ovarian structures in their natural position, facilitating the identification of endometriotic lesions and adhesions within the posterior pelvis. While the method is limited to posterior pelvic exploration, this constraint is considered minor because isolated anterior endometriosis is rare and likely insignificant for infertility diagnosis. This paper is centrally about endometriosis — specifically the use of office hydrolaparoscopy for its diagnosis in the context of tubal infertility.

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Abstract

Transvaginal hydrolaparoscopy has been described as an office procedure that is particularly suitable for the diagnosis of endometriosis and adhesions. It is recommended as a first line procedure in patients with infertility. The procedure is performed under local anaesthesia or sedation in an office setting. The abdominal distension is achieved by transvaginal instillation of warm saline using a combined Veress needle-trocar system. The exploration under fluid allows the inspection of the tubo-ovarian structures in their natural position and the easy identification of endometriotic lesions and adhesions in the posterior pelvis. The limitation of the inspection to the posterior pelvis is not a major problem for the diagnosis of endometriosis because exclusively anterior pelvis endometriosis is rare and of doubtful significance in infertility. Transvaginal hydrolaparoscopy can be performed in the office setting in combination with minihysteroscopy, tubal patency test and salpingoscopy, offering major advantages for the diagnosis of pelvic disease in patients with infertility.
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Office hydrolaparoscopy for the diagnosis of endometriosis and tubal infertility - Ivo Brosens - Rudi Campo - Stephan Gordts Transvaginal hydrolaparoscopy has been described as an office procedure that is particularly suitable for the diagnosis of endometriosis and adhesions. It is recommended as a first line procedure in patients with infertility. The procedure is performed under local anaesthesia or sedation in an office setting. The abdominal distension is achieved by transvaginal instillation of warm saline using a combined Veress needle-trocar system. The exploration under fluid allows the inspection of the tubo-ovarian structures in their natural position and the easy identification of endometriotic lesions and adhesions in the posterior pelvis. The limitation of the inspection to the posterior pelvis is not a major problem for the diagnosis of endometriosis because exclusively anterior pelvis endometriosis is rare and of doubtful significance in infertility. Transvaginal hydrolaparoscopy can be performed in the office setting in combination with minihysteroscopy, tubal patency test and salpingoscopy, offering major advantages for the diagnosis of pelvic disease in patients with infertility.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Fallopian Tube Diseases Infertility Laparoscopy Vagina Ambulatory Surgical Procedures Endometriosis Fallopian Tube Diseases Female Humans Infertility Laparoscopy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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