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fertiloscopy
• Local anesthesia
• No scar
• Safe: no pneumoperitoneum,no Trendelenburg position, no risk of vessel injury • Short procedure (10’)
• Compared with laparoscopy=identical
Kappa score between 0.75 and 0.92**
+ adjonction of salpingo/microsalpingoscopy
• **Watrelot A, Nisolle M, Hocke C, et al. Is laparoscopy still the gold standard in infertility assessment? A comparison of Fertiloscopy versus laparoscopy in infertility. 2003 Hum. Reprod. 18, 834‐839
• =EBM level Ib
Scoring of diagnostic tools 0=no value, 5=very good value
Tubal patency
Uterine cavity
Tubo‐ peritoneal environme nt
Tubal mucosa
HSG (1)
4
4
1
2
USG (2)
4
4
1
0
Laparoscopy
(3)
5
0
5
1
Laparoscopy +hysterosco ‐py
5
5
5
1
Fertiloscopy
(4)
5
5
5
5
TOTAL
11
9
11
16
20
1. Swart P. Mol BW ,Van Beurden M et al. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta‐analysis. Fertil. Steril. 1995,64, 486‐491.
2. Exacoustos C, Zupi E,Carusotti C, Lanzi G, Marconi D, Arduini D. Hysterosalpingo‐contrast sonography compared with Hysterosalpingography and laparoscopic dye pertubation to evaluate patency test.2003 Journal AAGL 10,367‐372
3. Sharma A, Bhalla R, Donovan O. 2004 Endoscopy in ART an overview ,2004Gyneco.l Surg. 1,1,3‐10
4. . Watrelot A, Nisolle M, Hocke C, et al. Is laparoscopy still the gold standard in infertility assessment? A comparison of Fertiloscopy versus laparoscopy in infertility. 2003 Hum. Reprod. 18, 834‐839.
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