MULTICENTER FEASIBILITY STUDY OF A NEW COAXIAL FALLOPOSCOPY SYSTEM

We compared falloposcopy employing a new coaxial system with tradition al laparoscopic chromotubation and hysterosalpingography in a prospect ive, multicenter clinical trial at five tertiary infertility centers. Based on findings at hysterosalpingography or laparoscopic chromotubat ion, the 16 women (22 tubes) in group 1 had a presumed diagnosis of pr oximal tubal obstruction, and the 4 (7 tubes) in group 2 had unexplain ed infertility. Cannulation was successfully achieved in 83.3% of tube s. In group 1, 85% (17/20) of visualized tubes were patent and 35% (7/ 20) were normal. In group 2, 40% (2/5) of visualized tubes were abnorm al. Management was changed in 52.4% of women as a result of falloposco pic findings. Falloposcopy with this new coaxial system allows improve d visualization with less bulky and less traumatic instruments. The sy stem provides valuable information regarding the fallopian tube lumen that correlates poorly with that obtained with more traditional techni ques.