View More View Less
  • 1 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary
  • | 2 Üllői út 78/A, H-1082, Budapest, Hungary
Restricted access

Abstract

Introduction

With the introduction of falloposcopy, an in vivo image of the inner surface of the Fallopian tubes has become available. The tubal factor in subfertile couples also provides specific, clinically relevant, and valuable prognostic information by clearly demonstrating the presence or absence of even minor anatomical abnormalities. We introduced falloposcopy to our clinical practice at the end of 1999.

Objective

To perform tuboscopy in the evaluation of infertility.

Patients and methods

The examination was performed under general anesthesia, using the transcervical (via hysteroscopy) “guide wire” catheterization system and a 0.5-mm falloposcope with 3000 pixels, under laparoscopic control. We attempted this examination in 22 cases.

Results

Differences were found in the falloposcopic image and in the previous finding of hysterosalpingography. We succeeded in cannulating the Fallopian tube even in cases with intramural occlusion showed by hysterosalpingography. In our series, fever was not observed and only one perforation occurred. Submucosal interstitial edema was observed in one of the Fallopian tubes. The mean operational time including the cervical dilatation, hysteroscopic procedure, and laparoscopic CO2 insufflation was 50 min.

Conclusions

After the first introduction of falloposcopy in Hungary, we need to find its place in evaluating infertility and to discuss its indication. Furthermore, the technical difficulties should also be taken into consideration. We recommend incorporating the falloposcopic examination into the screening of infertility.

  • [1]. T. Mohri C. Mohri F. Yamadori 1970 Tubaloscope: flexible glass fibre endoscope for intratubal observations Endoscopy 2 226.

  • [2]. J. Henry-Suchet V. Loffredo 1985 Endoscopy of the tube (= tuboscopy): its prognostic value for tuboplasties Acta Eur. Fertil. 16 139145.

    • Search Google Scholar
    • Export Citation
  • [3]. E. Cornier 1982 La fibroscopie en gynecologie: la fibrohysteroscopie et la fibrotuboscopie Nouv. Presse Med. 11 28412843.

  • [4]. I. Brosens W. Boeck Ph. Delattin 1987 Salpingoscopy: a new preoperative diagnostic tool in tubal infertility? Br. J. Obstet. Gynecol. 94 722728.

    • Search Google Scholar
    • Export Citation
  • [5]. J. Kerin L. Daykhovsky J. Segalowitz 1990 Falloposcopy: a microendoscopic technique for visual exploration of the human Fallopian tube from the uterotubal ostium to the fimbria using a transvaginal approach Fertil. Steril. 54 390400.

    • Search Google Scholar
    • Export Citation
  • [6]. J. Kerin D. Williams G. Roman 1992 Falloposcopic classification and treatment of Fallopian tube lumen disease Fertil. Steril. 57 731741.

    • Search Google Scholar
    • Export Citation
  • [7]. A. Lower S. Maguiness O. Djahanbakhch J. Grudzinskas 1992 Transcervical tubal endoscopy (falloposcopy) — a clinically useful tool? Gynecol. Endosc. 1 155158.

    • Search Google Scholar
    • Export Citation
  • [8]. B. Dunphy H.A. Pattison 1994 Office falloposcopy; a tertiary level assessment for planning the management of infertile women Aust. N. Z. J. Obstet. Gynecol. 34 189190.

    • Search Google Scholar
    • Export Citation
  • [9]. S. Rimbach D. Wallwiener G. Bastert 1994 Tuben-Endoscopie-minimal invasive Diagnostik bei gestorter Eileiterfunktion Minimal Invasive Medizin 5 912.

    • Search Google Scholar
    • Export Citation
  • [10]. S. Rimbach D. Wallwiener C. Barth D. Heberling G. Bastert 1996 Comparison of in vitro falloposcopian tube pathology Hum. Reprod. 11 21302133.

    • Search Google Scholar
    • Export Citation
  • [11]. S. Lundberg C. Rasmussen A. A. Berg C. Lindblom 1998 Falloposcopy in conjunction with laparoscopy: possibilities and limitations Hum. Reprod. 13 14901492.

    • Search Google Scholar
    • Export Citation
  • [12]. O. Bauer K. Diedrich S. Bacich 1992 Transcervical access and intra-luminal imaging of the fallopian tube in the non-anaesthetized patient; preliminary results using a new technique for fallopian access Hum. Reprod. 7 711.

    • Search Google Scholar
    • Export Citation
  • [13]. P. Puttemans R. Campo S. Gordts I. Brosens 2000 Hydrosalpinx and ART: hydrosalpinx — functional surgery or salpingectomy? Hum. Reprod. 15 14271430.

    • Search Google Scholar
    • Export Citation
  • [14]. F. DeBruyne P. Puttemans W. Boeckx I. Brosens 1989 The clinical value of salpingoscopy in tubal infertility Fertil. Steril. 51 339340.

    • Search Google Scholar
    • Export Citation
  • [15]. H. Dechaud J. P. Daures B. Hedon 1998 Prospective evaluation of falloposcopy Hum. Reprod. 13 18151818.

Clinical and Experimental Medical Journal
Language English
Size  
Year of
Foundation
2007
Publication
Programme
ceased
Volumes
per Year
 
Issues
per Year
 
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2060-6249 (Print)
ISSN 2060-968X (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jan 2022 1 2 3
Feb 2022 1 0 0
Mar 2022 1 0 0
Apr 2022 1 0 0
May 2022 0 0 0
Jun 2022 5 0 0
Jul 2022 1 0 0