ABSTRACT

Introduction Transvaginal endoscopic exploration is intended to make the direct visual exploration of the female internal organs as minimally invasive as possible, without compromising the diagnostic accuracy of the endoscopic investigation. Although indirect methods for the exploration of the tuboovarian tract are commonly used as a first-line screening tool, direct endoscopic visualization of the uterine cavity and the tubo-ovarian structures is still considered to be the gold standard. Conventional transabdominal laparoscopy is too invasive for diagnostic purposes only, and therefore the exploration of the female pelvis is frequently postponed in patients with infertility. As a consequence, accurate diagnosis of disorders and appropriate treatment is therefore delayed or absent.