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A Tardieu, F Sire, T Gauthier
OBJECTIVE: To provide clinical practice guidelines from the French college of obstetrics and gynecology (CNGOF) with the Haute Autorité de santé (HAS), based on the best evidence available, concerning the diagnosis accuracy of endoscopy (laparoscopy, hysteroscopy, fertiloscopy, cystoscopy, colonoscopy) in case of endometriosis. MATERIAL AND METHODS: English and French review of literature about the diagnosis accuracy of endoscopy in case of endometriosis. RESULTS AND CONCLUSION: Laparoscopy is useful in case of suspected endometriosis in patients with symptoms or infertility when appropriate preoperative assessment is negative (grade C)...
March 2018: Gynecologie, Obstetrique, Fertilite & Senologie
R Zhang, A Xu, Q Wang, L Zhang, L Zhu, S Zhao, W Xiong
OBJECTIVE: To assess the effects of fertiloscopy procedure on the outcomes of subsequent in vitro fertilization cycles in patients with repeated implantation failure (RIF). METHODS: A retrospective study was performed on 50 patients underwent fertiloscopy and 41 controls with RIF. Pelvic and intrauterine pathologies related to infertility, clinical pregnancy rate (CPR) and ongoing pregnancy rate (OPR) of subsequent IVF cycles were assessed. RESULTS: Twenty-six out of 50 patients (52%) had abnormal fertiloscopic findings...
December 2017: Journal of Gynecology Obstetrics and Human Reproduction
Matthias Trottmann, Sabine Kölle, Regina Leeb, Daniel Doering, Sven Reese, Christian G Stief, Kate Dulohery, Myles Leavy, Julia Kuznetsova, Christian Homann, Ronald Sroka
Routine infertility investigations in the male and female include imaging techniques such as ultrasonography and endoscopy (fertiloscopy). However, these techniques lack the resolution to localize vital sperm or to reveal detailed morphological analysis of the oviduct which is often the cause of infertility in females. Therefore we set out to evaluate the efficiency of optical coherence tomography (OCT) as a diagnostic imaging tool for micron-scale visualization of the male and female genital tract. Using the bovine as a model, the optical features of the Telesto(TM) , Ganymede(TM) (both Thorlabs) and Niris(TM) (Imalux) OCT imaging systems were compared...
January 2016: Journal of Biophotonics
M Franz, J Ott, A Watrelot, L Küssel, H Husslein
Fertiloscopy represents an alternative to laparoscopy in the diagnostic evaluation of unexplained infertility or for the purpose of ovarian drilling. The learning curve of fertiloscopy in an experienced laparoscopic surgeon was evaluated in a prospective multicentre observational trial. A total of 110 fertiloscopies were carried out. At Centre 1, a beginner, and at Centre 2, an expert in fertiloscopy, performed the procedures. In three cases in Centre 1, and in 0 cases in Centre 2, the procedure was converted to transabdominal laparoscopy owing to intraoperative complications...
April 2015: Reproductive Biomedicine Online
H Fernandez, I Cedrin-Durnerin, V Gallot, C Rongieres, A Watrelot, J-M Mayenga-Mankezi, A Arnoux
OBJECTIVES: To evaluate pregnancy rates after randomized controlled trial (RCT) between ovarian drilling by fertiloscopy or ovarian hyperstimulation+insemination+metformine after clomifène citrate (cc) treatment fails. PATIENTS AND METHODS: Randomized controlled trial with 126 patients in each arm in 9 university centers. After 6-9 months of stimulation by cc, 2 groups were randomized: group 1, ovarian drilling with bipolar energy versus group 2: 3 months treatment by metformine followed by 3 hyperstimulation by FSH+insemination...
October 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
B Anker, M Brandstätter, G Sliutz, A Watrelot, F Wierrani, W Schramm
OBJECTIVE: Fertiloscopy is a simple minimal invasive method which allows salpingoscopy and microsalpingoscopy in order to examine the mucosa of the fallopian tubes of patients with unexplained infertility. Infectious tubal damage is a common cause of tubal infertility. In 1998 it was demonstrated that nuclear staining of cellular nuclei during microsalpingoscopy with methylene blue provides a simple in vivo method to evaluate cellular damage of the tubal epithelium. The purpose of this study was to introduce and statistically test a new computerized method to objectively evaluate the extent of tubal damage...
2014: Clinical and Experimental Obstetrics & Gynecology
C Braidy, A Nazac, G Legendre, P Capmas, H Fernandez
BACKGROUND: Fertiloscopy is a recent technique designed to explore the tubo-ovarian axis in unexplained infertility. It is a simple outpatient technique, allowing to perform operative procedures, but its position relative to laparoscopy is yet to be defined. MATERIAL AND METHODS: A thorough and extensive bibliographical search was undertaken to fully embrace the question, challenging Medline at the National Library of Medicine, Cochrane Library, National Guideline Clearinghouse, Health Technology Assessment Database...
September 2014: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
A Abergel, C Rubod, B Merlot, E Petit, M Leroy, D Dewailly, J-P Lucot
OBJECTIVES: To evaluate fertiloscopy's results and to redefine its place in the management of female infertility. PATIENTS AND METHODS: Retrospective study including 262 cases of fertiloscopy and 260 patients with primary or secondary idiopathic infertility. Analysis of infertility assessment's findings (hysterosalpingography), perioperative data (operating technique, laparoscopic conversion, failures and complications). Comparison of hysterosalpingography's findings and peroperative data; comparison of fertiloscopy and laparoscopy's findings...
February 2014: Gynécologie, Obstétrique & Fertilité
J-L Pouly, M Krief, B Rabischong, F Brugnon, A-S Gremeau, L Dejou, N Fabre, G Mage, M Canis, X Folini
OBJECTIVES: The aims of this study were to assess the effectiveness of the ovarian drilling, compare the techniques by fertiloscopy or by laparoscopy, and search for prognostic factors of success. PATIENTS AND METHODS: This retrospective study focused on 154 ovarian drilling carried out between June 1998 and December 2010 where the drilling has been proposed after failure of the clomifene and before stimulation by FSH among PCOS patients. RESULTS: The post-drilling ovulation rate is 62%...
April 2013: Gynécologie, Obstétrique & Fertilité
S Benmokhtar, G Chauvin, R Chaibi, A Watrelot
OBJECTIVE: To assess the impact of operative fertiloscopy on fertility. PATIENTS AND METHODS: A retrospective study over a period of 3 years of 67 consecutive patients who received operative fertiloscopy and were followed over an 18 months period. RESULTS: The patients average age was 34 years (24-42) with a 3-year average infertility duration (1-15). We obtained 34 pregnancies (50.7%) (spontaneous or after intrauterine insemination) with 27 live births (38...
April 2012: Gynécologie, Obstétrique & Fertilité
Olivier Poujade, Amélie Gervaise, Erika Faivre, Xavier Deffieux, Hervé Fernandez
OBJECTIVES: To evaluate surgical management and fertility and pregnancy outcome in women with polycystic ovarian syndrome (PCOS). STUDY DESIGN: Retrospective file review and follow-up of 74 consecutive women with PCOS resistant to citrate clomiphene (CC) who underwent ovarian drilling by fertiloscopy with bipolar energy, together with hysteroscopic surgery when indicated (Canadian TASK FORCE II-2). RESULTS: Of 77 files, only 3 women were lost to follow-up...
October 2011: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Antoine Watrelot, Joseph Nassif, Wei Seng Law, Jacques Marescaux, Arnaud Wattiez
Although main obstacles for entry routes (transgastric, transvesical, and transrectal) in natural orifices transluminal endoscopic surgery are closure of the incision and infection issues, the transvaginal route seems to be the most used. There is no doubt that classic colpotomy is a valid option. Nevertheless, this approach can be difficult and time consuming. From our experience with fertiloscopy via vaginal access and using an existing disposable trocar, we describe a new safe and simple technique for transvaginal natural orifices transluminal endoscopic surgery...
June 2010: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Sébastien Courdier, Olivier Garbin, Michel Hummel, Véronique Thoma, Elizabeth Ball, Romain Favre, Arnaud Wattiez
STUDY OBJECTIVE: To determine the incidence of equipment failure in gynecologic endoscopy and investigate causes and consequences. DESIGN: A prospective observational single-center study between January and April 2006. SETTING: Gynecologic surgery department of a university hospital. INTERVENTIONS: In all, 116 endoscopic interventions were included: 62 laparoscopies, 51 operative hysteroscopies, and 3 fertiloscopies...
January 2009: Journal of Minimally Invasive Gynecology
D Chelli, K Dimassi, C Ghaffari, I Ghodhben, B Zouaoui, E Sfar, H Chelli, M B Chennoufi
OBJECTIVE: The purpose of this study was to estimate the place and the results of fertiloscopy in the management of female infertility. MATERIALS AND METHODS: Retrospective study over a period of eight years including the patients presenting infertility without pathology raising of an evident surgical indication. We analyzed the perioperative data, the results as well as the complications of this intervention. RESULTS: One hundred and eighty-eight fertiloscopic procedures succeeded (84%)...
April 2008: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Max Elstein
A consequence of assisted reproduction technology in infertility management has been a decline in tubal surgery. Microsurgery to correct localized damage has the advantage of long-standing restoration of fertility. A simple prognostic classification is lacking. The severity of the tubal damage and the health of the mucosa is key in determining outcome. Visualization of the tube by hysterosalpingography (HSG) or by hysterocontrastsonography (HyCoSy) has limitations. Laparoscopy has the advantage of inspecting the tube and its relation to other pelvic organs...
February 2008: Reproductive Biomedicine Online
A Watrelot
In the case of tubal disease, selection of patients is critical to decide whether tubal surgery or IVF should be proposed as the therapeutic option. Selection is based on tubal lesions, including the aspect of tubal mucosa and tuboperitoneal environment. Therefore, non-invasive diagnostic methods have proved to be insufficient, and endoscopy is mandatory. Fertiloscopy represents an attractive alternative. Fertiloscopy is minimally invasive, reproducible, and at least as precise as lap and dye. Moreover, fertiloscopy and not laparoscopy allows the routine practice of salpingoscopy and microsalpingoscopy...
October 2007: Reproductive Biomedicine Online
M Pellicano, U Catena, P Di Iorio, V Simonelli, F Sorrentino, N Stella, M Bonifacio, D Cirillo, C Nappi
In the last decade, ''fertiloscopy'', a new mini-invasive diagnostic technique, is becoming more and more popular: it is a good alternative to the diagnostic laparoscopy, a standard procedure but surely not harmless, very often capable to discover pathologies in asymptomatic patients. Fertiloscopy allows the visualization of the posterior pelvis (posterior face of the uterus, ovaries, tubes and intestinal ansae with the rectum), with a technique of introducing an optical device in the pouch of Douglas, through the posterior vaginal fornix, under previous general or local anesthesia...
April 2007: Minerva Ginecologica
I B Mgaloblishvili, M B Mgaloblishvili, N E Beriia, K O Tabutsadze
Transvaginal hydrolaparoscopy (THL) is considered as a first-line endoscopic method in the investigation of infertility. During the last period it has played important role in the rehabilitation of the natural fertility. The rapid development of this method in the operative settings is very attractive by it's low-invasiveness. Coagulation of endometrial cysts using THL method is very effective. In this case operation can be performed on an outpatient basis. The detection of small endometriomas that are not seen during THL is not a problem only for fertiloscopy...
October 2006: Georgian Medical News
E Nohuz, J-L Pouly, F Bolandard, B Rabischong, K Jardon, B Cotte, C Rivoire, G Mage
OBJECTIVE: Evaluation of fertiloscopy's place in the management of female infertility. PATIENTS AND METHODS: Retrospective study including 229 women presenting primary or secondary infertility without pathology raising of an evident surgical sanction and benefitting from a fertiloscopy. Perioperative data analysis (context of the infertility, operating technique, complications). RESULTS: Two hundred and three fertiloscopic procedures succeeded (88...
October 2006: Gynécologie, Obstétrique & Fertilité
Xiao-liang Hu, Hong-li Xu, Dan-ni Wang, Yan-he Li, Li-mei Xu, Yue-ying Cai
OBJECTIVE: To investigate the advantages of fertiloscopy in the examination and therapy of infertile women. METHODS: One hundred and fifteen infertile patients underwent fertiloscopy including transvaginal hydrolaparoscopy (THL), conventional dye-test, hysteroscopy, and dye-test using catheterization of the tubal ostium by hysteroscopy from May 2003 to Mar 2005. Access to the pouch of Douglas was achieved in 110 patients (95.7%). The primary infertile patients (primary group) and secondary infertile patients (secondary group) included respectively 49 and 61 cases...
December 2005: Zhonghua Fu Chan Ke za Zhi
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