Assessment of three-dimensional sonographic features of polycystic ovaries after laparoscopic ovarian electrocautery

Miklós Vizer, Ludwig Kiesel, I. Szabó, Antal Arany, Péter Tamás, András Szilágyi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Treatment of polycystic ovary syndrome-related infertility includes laparoscopic ovarian electrocautery. Three-dimensional (3-D) sonographic characterization of polycystic ovaries has been performed recently, including the study of the effect of laparoscopic ovarian drilling on ovarian volume. The impact of laparoscopic treatment on ovarian volume and vascular flow-patterns assessed by 3-D color power angiography (CPA), however, has not yet been elucidated. Objective: To measure ovarian volume, to evaluate and quantify intraovarian blood flow with 3-D CPA histogram analysis before and after laparoscopic ovarian electrocautery, and to compare the hormonal effects of surgery with 3-D sonographic findings. Setting: University hospital. Patient(s): Ten patients, aged 18-34 years, with polycystic ovary syndrome. Intervention(s): Evaluation of serum and urinary hormone profiles as well as transvaginal 3-D ultrasonography were performed before and after laparoscopic ovarian surgery. Result(s): Ovarian volume decreased, and 3-D CPA showed increased intraovarian flow intensity after laparoscopic electrocautery. Serum LH and T levels, ratios of urinary steroids reflecting 5α-reductase enzyme activity, and androgen to cortisol metabolites decreased; serum FSH levels increased 1 week after laparoscopy and correlated well with changes of 3-D sonographic features. Seven patients ovulated regularly after surgery, and five pregnancies were conceived within 1 year. Conclusion(s): Three-dimensional ultrasonography may be a useful adjunct and noninvasive method for correlating clinical parameters with the blood flow alterations in polycystic ovary syndrome patients.

Original languageEnglish
Pages (from-to)894-899
Number of pages6
JournalFertility and Sterility
Volume88
Issue number4
DOIs
Publication statusPublished - Oct 2007

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Electrocoagulation
Polycystic Ovary Syndrome
Ovary
Angiography
Color
Laparoscopy
Ultrasonography
Serum
Infertility
Androgens
Blood Vessels
Hydrocortisone
Oxidoreductases
Steroids
Hormones
Pregnancy
Enzymes
Therapeutics

Keywords

  • laparoscopy
  • Polycystic ovary
  • three-dimensional
  • ultrasonography

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Assessment of three-dimensional sonographic features of polycystic ovaries after laparoscopic ovarian electrocautery. / Vizer, Miklós; Kiesel, Ludwig; Szabó, I.; Arany, Antal; Tamás, Péter; Szilágyi, András.

In: Fertility and Sterility, Vol. 88, No. 4, 10.2007, p. 894-899.

Research output: Contribution to journalArticle

Vizer, Miklós ; Kiesel, Ludwig ; Szabó, I. ; Arany, Antal ; Tamás, Péter ; Szilágyi, András. / Assessment of three-dimensional sonographic features of polycystic ovaries after laparoscopic ovarian electrocautery. In: Fertility and Sterility. 2007 ; Vol. 88, No. 4. pp. 894-899.
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