Tags

Type your tag names separated by a space and hit enter

Vaginal ultrasound-guided ovarian needle puncture compared to laparoscopic ovarian drilling in women with polycystic ovary syndrome.
Arch Gynecol Obstet. 2019 05; 299(5):1475-1480.AG

Abstract

STUDY OBJECTIVE

To compare pregnancy outcomes in PCOS women undergoing transvaginal ovarian injury (TVOI) and laparoscopic ovarian drilling (LOD) DESIGN: 126 infertile patients with PCOS were included in this prospective cohort study CANADIAN TASK FORCE CLASSIFICATION OF LEVEL OF EVIDENCE: IIA.

SETTING

University-affiliated fertility center.

PATIENTS

Sixty-seven infertile patients with the history of failed in vitro maturation underwent follow-up as the TVOI group. Fifty-nine infertile women who underwent LOD acted as controls. All subjects had PCOS with menstrual irregularity and were anovulatory by repetitive serum progesterone levels.

INTERVENTIONS

The LOD group underwent six cauterizations of a single ovary with 30W for 4-6 s. Failed IVM subjects with 20-30 needle punctures per ovary acted as the TVOI group. Subjects were followed for six months.

MEASUREMENTS AND MAIN RESULTS

There was not a significant difference between the groups when the cases were evaluated in terms of spontaneous pregnancy or miscarriage rates. BMI levels decreased in both the TVOI and the LOD groups in a similar fashion. However, serum AMH and AFC decreased greater after LOD than they did with TVOI over the six-month duration of the study (p < 0.001 in both cases).

CONCLUSIONS

Preliminary data suggest that TVOI likely represents a safer, less costly and equally effective manner of surgical ovulation induction in anovulatory PCOS women when compared to LOD.

Authors+Show Affiliations

Medicana International Hospital, Yeni mahalle, Şehit Mesut Birinci Cad., No 85 Canik, Samsun, 55080, Turkey. safakhatirnaz@gmail.com.Mc Gill Fertility Center, Department of Obstetrics and Gynecology, McGill University, Montreal, Canada.Medicana International Hospital, Yeni mahalle, Şehit Mesut Birinci Cad., No 85 Canik, Samsun, 55080, Turkey.Obstetrics and Gynecology, Private Office, Uşak, Turkey.Department of Obstetrics and Gynecology, School of Medicine, Kocatepe University, Afyon, Turkey.Mc Gill Fertility Center, Department of Obstetrics and Gynecology, McGill University, Montreal, Canada.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

30729291

Citation

Hatırnaz, Şafak, et al. "Vaginal Ultrasound-guided Ovarian Needle Puncture Compared to Laparoscopic Ovarian Drilling in Women With Polycystic Ovary Syndrome." Archives of Gynecology and Obstetrics, vol. 299, no. 5, 2019, pp. 1475-1480.
Hatırnaz Ş, Tan SL, Hatırnaz E, et al. Vaginal ultrasound-guided ovarian needle puncture compared to laparoscopic ovarian drilling in women with polycystic ovary syndrome. Arch Gynecol Obstet. 2019;299(5):1475-1480.
Hatırnaz, Ş., Tan, S. L., Hatırnaz, E., Çelik, Ö., Kanat-Pektaş, M., & Dahan, M. H. (2019). Vaginal ultrasound-guided ovarian needle puncture compared to laparoscopic ovarian drilling in women with polycystic ovary syndrome. Archives of Gynecology and Obstetrics, 299(5), 1475-1480. https://doi.org/10.1007/s00404-019-05067-2
Hatırnaz Ş, et al. Vaginal Ultrasound-guided Ovarian Needle Puncture Compared to Laparoscopic Ovarian Drilling in Women With Polycystic Ovary Syndrome. Arch Gynecol Obstet. 2019;299(5):1475-1480. PubMed PMID: 30729291.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal ultrasound-guided ovarian needle puncture compared to laparoscopic ovarian drilling in women with polycystic ovary syndrome. AU - Hatırnaz,Şafak, AU - Tan,Seang Lin, AU - Hatırnaz,Ebru, AU - Çelik,Önder, AU - Kanat-Pektaş,Mine, AU - Dahan,Michael H, Y1 - 2019/02/06/ PY - 2018/06/14/received PY - 2019/01/25/accepted PY - 2019/2/8/pubmed PY - 2020/4/10/medline PY - 2019/2/8/entrez KW - Laparoscopic ovarian drilling KW - Polycystic ovary syndrome KW - Pregnancy KW - Transvaginal SP - 1475 EP - 1480 JF - Archives of gynecology and obstetrics JO - Arch. Gynecol. Obstet. VL - 299 IS - 5 N2 - STUDY OBJECTIVE: To compare pregnancy outcomes in PCOS women undergoing transvaginal ovarian injury (TVOI) and laparoscopic ovarian drilling (LOD) DESIGN: 126 infertile patients with PCOS were included in this prospective cohort study CANADIAN TASK FORCE CLASSIFICATION OF LEVEL OF EVIDENCE: IIA. SETTING: University-affiliated fertility center. PATIENTS: Sixty-seven infertile patients with the history of failed in vitro maturation underwent follow-up as the TVOI group. Fifty-nine infertile women who underwent LOD acted as controls. All subjects had PCOS with menstrual irregularity and were anovulatory by repetitive serum progesterone levels. INTERVENTIONS: The LOD group underwent six cauterizations of a single ovary with 30W for 4-6 s. Failed IVM subjects with 20-30 needle punctures per ovary acted as the TVOI group. Subjects were followed for six months. MEASUREMENTS AND MAIN RESULTS: There was not a significant difference between the groups when the cases were evaluated in terms of spontaneous pregnancy or miscarriage rates. BMI levels decreased in both the TVOI and the LOD groups in a similar fashion. However, serum AMH and AFC decreased greater after LOD than they did with TVOI over the six-month duration of the study (p < 0.001 in both cases). CONCLUSIONS: Preliminary data suggest that TVOI likely represents a safer, less costly and equally effective manner of surgical ovulation induction in anovulatory PCOS women when compared to LOD. SN - 1432-0711 UR - https://www.unboundmedicine.com/medline/citation/30729291/Vaginal_ultrasound-guided_ovarian_needle_puncture_compared_to_laparoscopic_ovarian_drilling_in_women_with_polycystic_ovary_syndrome L2 - https://dx.doi.org/10.1007/s00404-019-05067-2 DB - PRIME DP - Unbound Medicine ER -