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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: Jun 3, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Transvaginal hydrolaparoscopy.

Michelle Catenacci1, Jeffrey M Goldberg

  • 1Section of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA.

Seminars in Reproductive Medicine
|March 26, 2011
PubMed
Summary
This summary is machine-generated.

Transvaginal hydrolaparoscopy (THL) offers a minimally invasive diagnostic tool for infertility, comparable to hysterosalpingography but detecting more intrauterine issues. This office-based procedure is well-tolerated and can also be used for operative interventions.

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Area of Science:

  • Reproductive Medicine
  • Minimally Invasive Gynecologic Surgery

Background:

  • Transvaginal hydrolaparoscopy (THL) is a modified culdoscopy technique.
  • It allows visualization of the posterior uterus, pelvic sidewalls, and adnexae.

Purpose of the Study:

  • To evaluate THL as a first-line diagnostic tool for infertility.
  • To compare THL with hysterosalpingography (HSG) and laparoscopy.
  • To assess the potential for operative procedures during THL.

Main Methods:

  • Diagnostic THL performed in an office setting under local anesthesia.
  • Combined use with hysteroscopy and chromotubation.
  • Comparison of THL findings with HSG and laparoscopy outcomes.

Main Results:

  • THL demonstrated high concordance with HSG for tubal patency.
  • THL identified more intrauterine abnormalities, adhesions, and endometriosis than HSG.
  • THL showed high concordance with laparoscopy for complete pelvic evaluations.
  • Patient tolerability was high with less postprocedure pain than HSG.

Conclusions:

  • THL, combined with hysteroscopy and chromotubation, can replace HSG as a first-line infertility diagnostic test.
  • THL offers superior detection of intrauterine pathology and can be used for operative interventions.
  • THL is a safe, well-tolerated, and effective minimally invasive procedure for infertility evaluation.