Abnormalities of the uterine cavity can be a contributing cause of subfertility, and assessment of this factor has been suggested as a routine investigation in the evaluation of subfertile women. Hysterosalpingography has been used as the most common procedure in the investigation of infertility cause. Saline infusion sonohysterography can show uterine cavity abnormalities, which is highly sens...

A thirty-five-year-old infertile woman underwent two trials of hysteroscopic resection of a large calcified submucous myoma. During the first surgery, a resectoscope and an orthopedic rongeru forceps were used. Fifty-one grams of myoma were removed. During the second operation, a pneumatic urological lithotriptor (Swiss LithoClast) was used. Only fourteen grams of myoma were removed. Because th...

The presence of a uterine cesarean scar defect (CSD) is usually asymptomatic or relates to postmenstrual spotting and dark red or brown discharge, pelvic pain or infertility. Since hysteroscopic isthmoplasty has been documented to be minimally invasive and effective for symptomatic relief, we prefer channel-like resectoscopic treatment for symptomatic CDS with small size resectoscope. 16-Fr res...

We report the hysteroscopic findings in a 22 year old nulligravid patient with bilateral communicating hydrosalpinges. The inflamed hyperemic endometrial cavity encountered preoperatively normalized at second look hysteroscopy six months after bilateral tubal interruption. The patient underwent successful IVF with culmination in a singleton, live birth. We propose that an inflamed appearance at...

Excess absorption of fluid distention media remains an unpredictable complication of operative hysteroscopy and may lead to lethal conditions. We report an extreme hyponatremia, caused by using an electrolyte-free 5 : 1 sorbitol/mannitol solution as distention/irrigation fluid for hysteroscopic myomectomy. A 34-year-old female developed severe pulmonary edema and extreme hyponatremia (83 mmol/L...

C6mplications of hysteroscopy occur more frequently in operative than in diagnostic cases. Problems related to‘uterine distension are common, usually preventable, and potentially extremely serious. Perforation of the LFXIS may occur during hysteroscopy but do not always cause significant problems. In procedures of high risk i,r perforation the use of mechanical energy is safer than either laser...

Four patients with reproductive failure associated with uterine septa had transvaginal hysteroscopic metroplasty performed. Two successful pregnancies have occurred and a third patient is now in the second trimester of pregnancy. This method of treatment should replace the traditional open method of surgical repair of these malformations.

Hysteroscopic myomectomy is the surgical procedure of choice for the treatment of submucous or intramural myomas that protrude into the uterine cavity in patients with abnormal bleeding and/or infertility. It is a minimally invasive procedure associated with a low complication rate. Complications of hysteroscopy include uterine perforation, intraoperative and postoperative uterine bleeding, wat...