Transvaginal hydrolaparoscopy (THL) was evaluated in comparison with the already established chromolaparoscopy in the detection of tubal factors, adhesions as well as @entity46 . 43 @entity249 @entity1 without previous pelvic operations and with an inconspicuous clinical examination were included in a prospective comparative study of THL and chromolaparoscopy. THL succeeded in 40 @entity1 (93.0%). Both methods showed 100% agreement with regard to tubal factors and adhesions. However, only 72/80 tubes (90.0%) could be portrayed by THL. In contrast to this, THL failed to identify 8 of 10 laparoscopically verified endometrioses (isolated @entity46 of the bladder peritoneum in 2). No complications occurred with THL. THL could be the method of choice for the clarification of mechanical @entity249 factors in symptom-free @entity1 with no suspicion of pelvic pathologies. Tubal pathologies and/or adhesions (visible during THL) should be indications for laparoscopy. In the case of inconspicuous genitals during THL and a still unfulfilled desire for offspring postoperatively, laparoscopy should be considered in order to exclude the possibility of unidentified @entity46 . Retroflexio uteri should at least be a relative contraindication for THL. Further studies are necessary to evaluate the role of THL in the diagnostic concept of @entity249 in the future.

Results of a prospective comparative study of transvaginal hydrolaparoscopy and chromolaparoscopy in the diagnostics of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity249 :: ('MESH:D007246', 'Disease') :: ['infertility', 'infertile'] @entity46 :: ('MESH:D004715', 'Disease') :: ['endometriosis']
@entity249 :: (MESH:D007246,Disease) :: ['infertility']
