Application of transvaginal hydrolaparoscopy for ovarian drilling using Nd:YAG laser in infertile women with polycystic ovary syndrome

Yuki Hirano; Hiroaki Shibahara; Satoru Takamizawa; Izumi Suzuki; Seiji Yamanaka; Tatsuya Suzuki; Hiroyuki Fujiwara; Mitsuaki Suzuki

doi:10.1046/j.1445-5781.2003.00018.x

Application of transvaginal hydrolaparoscopy for ovarian drilling using Nd:YAG laser in infertile women with polycystic ovary syndrome

Reprod Med Biol. 2003 Mar 25;2(1):37-40. doi: 10.1046/j.1445-5781.2003.00018.x. eCollection 2003 Mar.

Authors

Yuki Hirano¹, Hiroaki Shibahara¹, Satoru Takamizawa¹, Izumi Suzuki¹, Seiji Yamanaka¹, Tatsuya Suzuki¹, Hiroyuki Fujiwara¹, Mitsuaki Suzuki¹

Affiliation

¹ Department of Obstetrics and Gynecology, Jichi Medical School, Tochigi, Japan.

Abstract

Since transvaginal hydrolaparoscopy (THL) was introduced as the first-line procedure in the early stage of the exploration of the tubo-ovarian structures in infertile women, it has been shown that THL is a less traumatic and a more suitable outpatient procedure than diagnostic laparoscopy. In the present study, a minimally invasive surgery was carried out in infertile women with polycystic ovary syndrome (PCOS) by THL. Ovarian drilling using Nd:YAG laser vaporization by THL was performed in two clomiphen citrate-resistant infertile women with PCOS. After ovarian drilling with THL, a patient recovered an ovulatory cycle. These findings suggest that ovarian drilling by THL seems to be a safe procedure in infertile women with PCOS. However, further investigations are required to evaluate the effectiveness and risks of this minimally invasive operation. (Reprod Med Biol 2003; 2: 37-40).

Keywords: anovulation; laser vaporization; ovarian drilling; polycystic ovary syndrome; transvaginal hydrolaparoscopy.

Publication types

Case Reports