OFFICE FALLOPOSCOPY - A TERTIARY LEVEL ASSESSMENT FOR PLANNING THE MANAGEMENT OF INFERTILE WOMEN

Thirty-nine women underwent Falloposcopic examination utilizing the li near eversion catheter. Indications for examination included bilateral and unilateral proximal and distal tubal occlusive disease, assessing the residual Fallopian tube after salpingectomy for ectopic pregnancy , and unexplained infertility. Seventy-three Fallopian tubes were avai lable for examination, of which 72 (98.6%) were successfully cannulate d. Sixty-eight ampullas were successfully visualized (94.4%). The mean duration of the examination was 24.7 minutes. Where proximal tubal di sease was not suspected, 30.3% of oviducts were found to have a proxim al lesion and 57.5% were found to have distal intratubal disease. Mana gement was changed in 24 women (61.5%) on the basis of Falloposcopic i nformation. These data demonstrate the clinical value of Falloposcopy.