Fluoroscopically guided transcervical fallopian tube recanalization of post-sterilization reversal mid-tubal obstructions |
| |
Authors: | J Graeme Houston David Anderson John Mills Anthony Harrold |
| |
Institution: | (1) Department of Radiology, Ninewells Hospital and Medical School, Tayside University Hospitals NHS Trust, Dundee DD1 9SY, Scotland, UK, GB;(2) Assisted Conception Unit, Ninewells Hospital and Medical School, Tayside University Hospitals NHS Trust, Dundee DD1 9SY, Scotland, UK, GB |
| |
Abstract: | Purpose: To assess the technical success and early outcome of fluoroscopically guided transcervical fallopian tube recanalization
(FTR) in mid-tubal occlusion following sterilization reversal surgery.
Methods: From July 1995 to January 1998, patients with greater than 12 months secondary infertility underwent hysterosalpingography
(HSG). FTR was performed in proximal or mid-tubal occlusion. Cases of FTR in mid-tubal occlusion were included in this study.
Technical success (defined as complete tubal patency) using a standard guidewire and hydrophilic glidewire, the number of
patients with at least one patent tube, and the intrauterine and ectopic pregnancy rates were determined.
Results: Twenty-six infertile patients with previous sterilization reversal underwent HSG. Eight of 26 (31%) patients (mean age 32
years, range 23–37 years), had attempted FTR for mid-tubal occlusion at the site of surgical anastomosis. Fourteen tubes were
attempted as there were two previous salpingectomies. Technical success was achieved in eight of 14 (57%) tubes attempted,
resulting in five of eight (62%) patients having at least one patent tube. At follow-up (mean 18 months, range 12–28 months)
in these five patients there was one intrauterine pregnancy. There were no ectopic pregnancies.
Conclusions: FTR in mid-tubal obstruction in infertile patients following sterilization reversal surgery is technically feasible and may
result in intrauterine pregnancy. In this small group there was a lower technical success rate and lower pregnancy rate than
in unselected proximal tubal occlusion. |
| |
Keywords: | : Fallopian tube— Recanalization— Sterilization reversal |
本文献已被 PubMed SpringerLink 等数据库收录! |
|