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Clinical and Experimental Medical Journal
István Szabó
Zoltán Langmár
Gábor Sobel
Zoltán Fontányi
Péter Sziller
Máté Hazay
Ferenc Paulin
, and
Attila Pajor



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.


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.


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.


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.

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