Transvaginal endoscopic adnexal sampling

Study objective:To evaluate the feasibility of aspirating and brushing the adnexal structures via transvaginal approach to obtain specimens adequate for cytopathology Design: prospective feasibility study (Design Classification: Canadian Task Force II-1) Setting: A tertiary care community-based teaching hospital. Subjects: Patients who presented for scheduled surgical excision of the adnexaInterventions: A total of seventeen samples were obtained from the ovaries and fallopian tubes of five patients who underwent laparoscopic adnexectomy.During the indicated procedure, culdoscopic sampling of the adnexa was performed.Results: Thin prep slides were prepared and analyzed.All patients underwent attempted transvaginal sampling of the ovary and oviduct.The first patient case was complicated by morbid obesity and pelvic adhesions and thus had sampling limited to one ovary.The next four patients had successful sampling of bilateral fallopian tube lumen and ovarian surface.Thus, seventeen samples were available for analysis.All cytologic findings were consistent with final histopathologic review of the explanted organs. Conclusions:The transvaginal approach can be performed to obtain adequate cytologic samples from the adnexa in situ