COMPARISON OF AMPULLARY ASSESSMENT BY FALLOPOSCOPY AND SALPINGOSCOPY

purpose of this study was to compare and contrast falloposcopic and sa lpingoscopic ampullary assessments in a series of 20 women undergoing tubal microsurgery for distal tubal or peritubal disease. Four women h ad an extrinsic cause for their peritubal adhesions, and would have be en expected to exhibit a normal oviductal canal. All of the falloposco pic examinations were performed as an outpatient procedure. Salpingosc opic examinations were undertaken at the time of microsurgery. The end oscopic examinations were undertaken by two clinicians, who were blind ed to each other's assessments and to the indication for surgery. Of t he 31 Fallopian tubes which were examined, 24 were found to be abnorma l by salpingoscopy and 23 were found to be abnormal by falloposcopy. T otal score and scores for epithelial appearance, vascularity, intralum inal adhesions and dilatation were found to be significantly associate d. Furthermore, falloposcopy predicted salpingoscopic status correctly in 84% of cases. These data suggest that falloposcopy is a useful met hod of assessing ampullary condition.