Skip to main content

Hysteroscopy and Tubal Pathologies

  • Chapter
  • First Online:
Atlas of Hysteroscopy

Abstract

The main function of the uterine tubes is to assist in the transfer and transport of the fertilized oocte from the site of fertilization in the tubal ampulla to the uterus.

The walls of the fallopian tubes consist of three main layers: isthmus, ampulla, and infundibulum.

Different anatomical parts have the following physiological roles: myosalpinx: ovum transport, innervation: might function as adrenergic sphincter, mucosa: provides a supportive environment, uterotubal junction: distal isthmus is not critical to reproduction, fimbria: special role of ovum pickup.

Different pathologies are described in the literature: PID (both acute and chronic), salpingitis isthmica nodosa, endosalpingiosis, ectopic pregnancy, tubal carcinoma, and miscellaneous reasons for proximal tubal occlusion.

In the era of IVF the tube still has an important physiological role and can be preserved and treated in many pathologies to assure future fertility

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Ezzati M, Djahanbakhch O, Arian S, Carr BR. Tubal transport of gametes and embryos: a review of physiology and pathophysiology. J Assist Reprod Genet. 2014;31(10):1337–47.

    Article  Google Scholar 

  2. Chung KW. Gross anatomy. 8th ed. Philadelphia: Wolters Kluwer Health; 2015. p. 218–22.

    Google Scholar 

  3. Junqueira LC, Carneiro J, Kelley RO. Basic histology. 9th ed. Stamford, Conn: Appleton & Lange; 1998. p. 456–8.

    Google Scholar 

  4. Eddy CA, Pauerstein CJ. Anatomy and physiology of the fallopian tube. Clin Obstet Gynecol. 1980;23(4):1177–93.

    Article  CAS  Google Scholar 

  5. Cates W, Rolfs RT, Aral SO. Sexually transmitted diseases, pelvic inflammatory disease, and infertility—an epidemiologic update. Epidemiol Rev. 1990;12:199–220.

    Article  Google Scholar 

  6. Akande VA, Hunt LP, Cahill DJ, Caul EO, Ford WC, Jenkins JM. Tubal damage in infertile women: prediction using chlamydia serology. Hum Reprod. 2003;18(9):1841–7.

    Article  Google Scholar 

  7. Witkin SS, Linhares I, Giraldo P, Jeremias J, Ledger WJ. Individual immunity and susceptibility to female genital tract infection. Am J Obstet Gynecol. 2000;183:252–6.

    Article  CAS  Google Scholar 

  8. Mitchell C, Prabhu M. Pelvic inflammatory disease: current concepts in pathogenesis, diagnosis and treatment. Infect Dis Clin North Am. 2013;27(4):793–809.

    Article  Google Scholar 

  9. Svirsky R, Vaknin Z, Ben-Ami I, Schneider D, Pansky M. Predictors of tubo-ovarian abscess in acute pelvic inflammatory disease. J Reprod Med. 2008;53(1):40–4.

    PubMed  Google Scholar 

  10. Yaranal PJ, Hegde VJ. Salpingitis isthmica nodosa: a case report. Clin Diagn Res. 2013;7(11):2581–2.

    Google Scholar 

  11. Green LK, Kott ML. Histopathologic findings in ectopic tubal pregnancy. Int J Obstet Gynaecol Pathol. 1989;8:255–6.

    Article  CAS  Google Scholar 

  12. Heinig J, Gottschalk I, Cirkel U, Diallo R. Endosalpingiosis-an underestimated cause of chronic pelvic pain or an accidental finding? A retrospective study of 16 cases. J Obstet Gynecol Reprod Biol. 2002;103(1):75–8.

    Article  Google Scholar 

  13. Riddle N. Fallopian tubes. Benign or nonneoplastic conditions. Ectopic/tubal pregnancy. December, 2018, PathologyOutlines.com, Inc.

  14. George SH, Garcia R, Slomovitz BM. Ovarian cancer: the fallopian tube as the site of origin and opportunities for prevention. Front Oncol. 2016;6:108.

    Article  Google Scholar 

  15. Cohen SB, Bouaziz J, Jakobson-Setton A, Goldenberg M, Schiff E, Orvieto R, Shulman A. Hysteroscopically guided transvaginal ultrasound tubal catheterization-a novel office procedure. Eur J Obstet Gynecol Reprod Biol. 2016;204:113–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shlomo B. Cohen .

Editor information

Editors and Affiliations

1 Electronic Supplementary Materials

Hysteroscopic tubal catheterization (MOV 31128 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cohen, S.B., Raimondo, G. (2020). Hysteroscopy and Tubal Pathologies. In: Tinelli, A., Alonso Pacheco, L., Haimovich, S. (eds) Atlas of Hysteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29466-3_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-29466-3_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29465-6

  • Online ISBN: 978-3-030-29466-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics