Transvaginal Hydrolaparoscopy (TVHL) - German Experience with a New Procedure for Outpatient Fertility Diagnosis

Transvaginal hydrolaparoscopy (TVHL) enables a rapid and accurate diagnosis to be made about the status of the fallopian tubes and pelvic abnormalities in a one-stop fertility clinic. We report on the very low complication rate (0.8 %) of this new procedure which was performed in the fertility centre Duesseldorf between 2003 and 2006 in more than 600 patients. As the duration of the surgical procedure is very short, patient acceptance of the procedure is very high, and other indirect visualisation modalities such as hysterosalpingography or hysterocontrastsonography are not required.