Nonsurgical fallopian tube recanalization for treatment of infertility

Amy S. Thurmond, Josef Rösch

Research output: Contribution to journalArticle

90 Scopus citations

Abstract

Fluoroscopic transcervical fallopian tube recanalization was performed in 100 consecutive patients with infertility and proximal tubal obstruction documented with hysterosalpingography. In 86 patients, the procedure enabled at least one tube to be opened. Twenty-six intrauterine pregnancies resulted from the successful recanalization. A well-defined subset of 20 patients were evaluated to better define the treatment effect of fallopian tube recanalization. All 20 had bilateral proximal tubal obstruction without other tubal disease, and all had been recommended for tubal microsurgery or in vitro fertilization. Recanalization of one or both tubes was successful in 19 of these women (95%). Nine patients conceived (47%) without receiving any other therapy, and the average time from procedure to conception was 4 months. All pregnancies were intrauterine. Eight of the 10 patients who did not conceive underwent follow-up hysterosalpingography an average of 6 months following the procedure; four (50%) demonstrated reocclusion of both tubes. The authors conclude that nonsurgical fallopian tube recanalization is an effective treatment for infertility caused by proximal tubal obstruction.

Original languageEnglish (US)
Pages (from-to)371-374
Number of pages4
JournalRADIOLOGY
Volume174
Issue number2
DOIs
StatePublished - Feb 1990

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Keywords

  • Fallopian tubes, diseases, 853.2175
  • Fallopian tubes, interventional procedure, 853.1299
  • Sterility

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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