What is a fertiloscopy?
The fertiloscopy is an operation performed vaginally for the examination, with a mini camera, of all the female internal genital organs. The fertiloscopy is performed in cases of infertility.
How is a fertiloscopy performed?
The fertiloscopy can be described as a laparoscopy performed vaginally and in water. Unlike the laparoscopy, the fertiloscopy does not require the insufflation of gas in the abdomen or necessarily general anaesthesia. In addition, it causes very little pain. It is an outpatient procedure and takes between 15 and 30 minutes.
The patient is placed in the lithotomy position under local-regional (spinal) or general anaesthesia depending on the case. A needle is passed through the vagina into the pelvis at the Douglas’ pouch level, at the back of the uterus. The pelvis is filled with physiological saline solution. A thin endoscope known as a Fertiloscope is then introduced into the pelvis and passed behind the uterus.
The fertiloscopy is used to study the female “fertility well”, i.e. all genital organs involved in reproduction:
In addition to a fertiloscopy, different necessary surgical actions can be practiced in the event of infertility such as:
What are the risks of the fertiloscopy?
The main risk, although extremely rare, is injury to the rectum. This is fortunately a minor complication in most cases that requires no treatment other than antibiotics. This complication can be prevented not performing a fertiloscopy on patients suspected of having severe endometriosis of the rectovaginal septum.