Transvaginal hydrolaparoscopy in the treatment of polycystic ovary syndrome

Fertility and Sterility
S GordtsI Brosens

Abstract

To evaluate the efficacy of transvaginal endoscopic ovarian capsule drilling. Retrospective efficacy study. Private tertiary care center. Thirty-nine PCOS patients with previously failed ovulation induction; mean duration of infertility 26.5 months (SD +/-2.6); mean age 30.38 years (SD +/-3.8); mean body mass index of 29.4 (SD +/-9.7). Through transvaginal hydrolaparoscopy in a 1-day clinic setting, drilling of the ovarian capsule is performed with a 5-Fr bipolar needle (Karl Storz, Tüttlingen, Germany) creating 10-15 holes of +/-0.20 mm in each ovary. Evaluation of feasibility, spontaneous resumption of ovulatory cycles and pregnancy rates. Ovarian capsule drilling was performed in 39 patients. Six patients were lost of follow-up. In total, 25 out of 33 patients (76%) became pregnant with a mean duration between procedure and onset of pregnancy of 7.2 months (SD +/-5.4). Natural conception with or without controlled ovarian hyperstimulation and/or intrauterine insemination occurred in 13 of the 16 patients (81%). Of the 17 patients referred to our IVF program, 12 became pregnant. There were no multiple pregnancies or complications. The transvaginal approach for ovarian capsule drilling offers a valuable alternative to the stan...Continue Reading

Citations

Jan 8, 2013·Best Practice & Research. Clinical Obstetrics & Gynaecology·Stephan Gordts
Jan 17, 2012·Journal of Ovarian Research·Anita M PimentelHelena Ve Corleta
Oct 13, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Yi-Xin ZhangYu Zhang
May 27, 2016·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Pierluigi GiampaolinoGiuseppe Bifulco
May 13, 2017·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Pierluigi GiampaolinoGiuseppe Bifulco
Oct 13, 2009·Fertility and Sterility·Alexander Wilfried HuberMichael David Mueller
Jan 29, 2018·Archives of Gynecology and Obstetrics·Hatem Abu HashimMohamed El Rakhawy
Nov 11, 2017·The Cochrane Database of Systematic Reviews·Sam LepineYing C Cheong
Jan 15, 2010·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Tamara Hunter, Roger Hart
Jan 18, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jaeman BaeSoo-Nyung Kim
Apr 18, 2017·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Pierluigi GiampaolinoGiuseppe Bifulco
Feb 27, 2010·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Cai-Hong MaPing Liu

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