PROSPECTIVE EVALUATION OF FALLOPOSCOPY

The aim of this study was to evaluate the feasibility of routine fallo poscopy in infertile patients undergoing basic infertility investigati ons, and to determine its usefulness in comparison with other tubal in vestigation methods. Seventy-five infertile women were selected based on the following criteria: 2 years of infertility, age between 18 and 40 years, normal ovulation, and partner with normal spermatozoa. Based on the results of the classical means of tubal evaluation (hysterosal pingography and laparoscopy), these patients were classified in one of two groups: tubal or unexplained infertility, All patients underwent a falloposcopy under general anaesthesia, The procedures were performe d by the same surgeon with the linear everting catheter, Based on the falloposcopic findings, these patients were then reclassified in one o f two other groups: falloposcopic tubal or falloposcopic unexplained i nfertility. The mean outcome measures were catheterization rate, durat ion of the procedure, pregnancy rates, complication rate and predictiv e value of Falloposcopy. The tubal catheterization rate was 94,5%, The mean duration of falloposcopy was 19 min per tube. Based on a standar d scoring system, the spontaneous pregnancy rates were 27.6% for a sco re <20; 11.5% for a score between 21 and 30; and 0% if the score was > 30, Complication rate was 5.1% of pinpoint perforations of the tube. W ith Cox's statistical model, none of the parameters analysed was stati stically predictive of intrauterine pregnancy. We conclude that the gr eater accuracy of diagnosis by falloposcopy may indicate that it shoul d be incorporated into the initial screening of infertile patients.