A modified technique of laparoscopic ovarian drilling for polycystic ovary syndrome using the monopolar hook electrode.

The aim of our study was to review our experience with a modified technique of laparoscopic ovarian drilling (LOD) using a monopolar hook electrode. We retrospectively included 38 clomiphene-resistant women with polycystic ovary syndrome undergoing LOD. A laparoscopic monopolar hook electrode was used to make three to six incisions in the ovarian capsule. It resulted in a rate of spontaneous ovulation of 75.8%, an overall one-year pregnancy rate of 80.6% and a subsequent live birth rate of 67.7%. We consider our LOD technique using the monopolar hook electrode practicable. Whether it leads to a more extensive destruction of the ovarian capsule and thereby of the ovarian reserve remains open.