Ultrasonographic observations following unilateral and bilateral laparoscopic ovarian diathermy in infertile women with clomiphene citrate resistant polycystic ovarian syndrome (PCOS)

Objective: To evaluate the changes in ovarian volume and the reproductive outcome after unilateral (UOD) and bilateral (BOD) laparoscopic ovarian diathermy in infertile women with Clomiphene Citrate resistant PCOS.
Material and Methods: The ovarian volume in both groups was measured by transvaginal ultrasonography preoperatively and up to 10 days after laparoscopic ovarian diathermy and examined in relation to the subsequent clinical course.
Results: Of the ten patients who underwent UOD, seven clinical pregnancies were achieved in five women. Of the ten patients who underwent BOD, seven clinical pregnancies were achieved in six women. BOD was seen to be followed by a statistically significant decrease in mean ovarian volume ten days post-operatively; whilst there were no changes in mean ovarian volume following UOD, resulting there was a decrease in ovarian volume in two women whose right ovary (ipsilateral) was diathermied and three women in the contralateral ovary.
Conclusion: Although such changes were not consistently seen following UOD, the clinical outcome was similar in both groups.

Keywords
unilateral vs. bilateral laparoscopic ovarian diathermy; polycystic ovarian syndrome; ultrasound