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Abstract
ObjectiveTo determine whether the accuracy of transvaginal hydrolaparoscopy is comparable to that of standard laparoscopy for the diagnosis of infertility.DesignProspective, comparative study.SettingGeneral hospital in Belgium.Patient(s)Ten infertile patients without obvious pelvic pathology.Intervention(s)Two gynecologists independently performed transvaginal hydrolaparoscopy and standard laparoscopy and reported the observations in a confidential manner to a third person.Main outcome measure(s)Endometriosis, adhesions, and other pelvic pathology related to infertility.Result(s)Minimal or mild endometriosis was diagnosed in seven patients and sequelae of pelvic inflammatory disease in one patient at both procedures. The interobserver agreement for tuboovarian adhesions was 95% at transvaginal hydrolaparoscopy and 74% at standard laparoscopy. Ovarian adhesions were detected in 63% at transvaginal hydrolaparoscopy and in 37% at standard laparoscopy.Conclusion(s)Transvaginal hydrolaparoscopy is comparable in accuracy to standard laparoscopy for the diagnosis of adhesions and endometriosis in infertile patients without obvious pathology.
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Cited by (27)
- Diagnosis and treatment of early-stage endometriosis by Transvaginal Hydro laparoscopy 2023
- In-office transvaginal hydrolaparoscopy: a step-by-step, intraoperative pain evaluation 2015
- Pathophysiology proposed as the basis for modern management of the ovarian endometrioma 2013
- Rationale of first-line endoscopy-based fertility exploration using transvaginal hydrolaparoscopy and minihysteroscopy 2012
- Laparoscopy for Diagnosis and Treatment of Endometriosis 2011
- $R0APAIOANNOUISACONSULTANT/BSTETRICIANAND'YNAECOLOGISTATTHE(EARTOF%NGLAND .(3&OUNDATION4RUSTIN"IRMINGHAM5+4HETOPICFORHIS-$WASTHEUSEOFSELECTIVE SALPINGOGRAPHYANDTUBALCATHETERISATIONCOMPLETEDATTHE5NIVERSITYOF"IRMINGHAMDURING HISCLINICALFELLOWSHIPINREPRODUCTIVEMEDICINE(EHASAKEENINTERESTINTHESTUDYOFTHE &ALLOPIANTUBEANDTHETREATMENTOFTUBALDISEASE 2007
- Major complications and outcome of diagnostic and operative transvaginal hydrolaparoscopy 2007
- Tubal assessment tests: still have not found what we are looking for 2007
- Atlas of Transvaginal Endoscopy 2007
- Transvaginal hydrolaparoscopy: an advance or a gimmick! 2006
- One stop fertility clinic 2005
- Transvaginal endoscopy: new technique evaluating female infertility. Three Mediterranean countries’ experiences 2005
- Should laparoscopy be a mandatory component of the infertility evaluation in infertile women with normal hysterosalpingogram or suspected unilateral distal tubal pathology? 2004
- Progress in transvaginal hydrolaparoscopy 2004
- Diagnosis of endometriosis: pelvic endoscopy and imaging techniques 2004
- Transvaginal Laparoscopy 2003
- Usefulness and prognostic value of transvaginal hydrolaparoscopy in infertile women 2003
- Experience with 109 Cases of Transvaginal Hydrolaparoscopy 2003
- Endometriosis: modern surgical management to improve fertility 2003
- Transvaginal hydrolaparoscopy: a new diagnostic tool in infertility investigation 2002
- Transvaginal hydrolaparoscopy but not standard laparoscopy reveals subtle endometriotic adhesions of the ovary 2001
- An appraisal of the role of laparoscopy: past, present, and future 2001
- Diagnostic and Operative Transvaginal Hydrolaparoscopy for Infertility and Pelvic Pain 2001
- Hidrolaparoscopia transvaginal: optimizando la técnica 2001
- Operative transvaginal hydrolaparoscopy of a large ovarian endometrioma 2000
- Office transvaginal hydrolaparoscopy for early diagnosis of pelvic endometriosis and adhesions 2000
- Is laparoscopy the gold standard for the diagnosis of endometriosis? 2000
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- europepmc
- last seen: 2026-08-01T06:07:04.264727+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:10:29.640636+00:00
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