ABSTRACT

Introduction Assessment of the Fallopian tube represents an integral part of the evaluation of the infertile couple. Because the findings obtained at hysterosalpingography (HSG), laparoscopy, or laparotomy are indirect, salpingoscopy has been introduced as an endoscopic examination that can directly evaluate the ampullary tubal mucosa. The standard procedure is transfimbrial salpingoscopy performed at the time of laparoscopy.1 It is a microendoscopic approach for directly visualizing the tubal mucosa from the ampullary-isthmic junction to the fimbria. Clinical and morphologic studies have shown a high correlation between the appearance of the tubal mucosa and the ultimate outcome in terms of pregnancies.1 Recently, it was suggested that performing salpingoscopy with laparoscopy could significantly increase accuracy in predicting shortterm fertility outcome.2 However, such salpingoscopy under transabdominal laparoscopy requires hospitalization and general anesthesia.