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Fluoroscopically guided transcervical fallopian tube recanalization of post-sterilization reversal mid-tubal obstructions

  • J. Graeme Houston
  • David Anderson
  • John Mills
  • Anthony Harrold
Clinical Investigations

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.

Key words

Fallopian tube Recanalization Sterilization reversal 

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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • J. Graeme Houston
    • 1
  • David Anderson
    • 2
  • John Mills
    • 2
  • Anthony Harrold
    • 2
  1. 1.Department of Radiology, Ninewells Hospital and Medical SchoolTayside University Hospitals NHS TrustDundeeScotland, UK
  2. 2.Assisted Conception Unit, Ninewells Hospital and Medical SchoolTayside University Hospitals NHS TrustDundeeScotland, UK

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