Abstract
Objective
To evaluate the efficacy of selective salpingography and tubal canalization (TC) procedure among patients diagnosed with proximal tubal occlusion (PTO).
Methods
We conducted a retrospective cohort study on 61 sub-fertile patients aged 32.6 ± 4.9 years that were referred between the years of 2011 and 2013 with the diagnosis of PTO by prior hysterosalpingography. Patients underwent TC and were classified as bilateral PTO or unilateral PTO. Information regarding the patient’s reproductive outcome within the 12 months following the procedure was collected by a telephone survey.
Results
During the study period, 58/61 (95 %) patients underwent TC, resulting in bilateral open tubes in 54 patients (93.1 %). 53/58 (91.3 %) patients answered our survey. There were 23/53 (43.4 %) patients with a successful procedure who conceived after spontaneous or COH + IUI resulting in 15/23 live births (65.2 %).
Conclusion
Tubal canalization is a safe and minimally invasive procedure that can be used effectively to restore patency in a proportion of cases of PTO thus avoiding the need for expensive and invasive procedures such as assisted reproductive techniques.
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References
Musich J, Behrman S (1983) Surgical management of tubal obstruction at the uterotubal junction. Fertil Steril 40:423–440
Novy MJ, Thurmond AS, Patton P, Uchida BT, Rosch J (1988) Diagnosis of corneal obstruction by transcervical fallopian tube cannulation. Fertil Steril 50:434–440
Serafini P, Batzofin J (1989) Diagnosis of female infertility: a comprehensive approach. J Reprod Med 34:29–40 (review)
Honore GM, Holden AE, Schenken RS (1999) Pathophysiology and management of proximal tubal blockage. Fertil Steril 71:785–795
Das S (2007) Proximal tubal disease: the place for tubal cannulation. Reprod Med online 15:383–388
Lo Monte G, Capobianco G, Piva I, Caserta D, Dessole S, Marci R (2015) Hysterosalpingo contrast sonography (HyCoSy): let’s make the point! Arch Gynecol Obstet 291:19–30
Al-Jaroudi D, Herba MJ, Tulandi T (2005) Reproductive performance after selective tubal catheterization. J Minim Invasive Gynecol 12:150–152
Allahbadia GN, Merchant R (2010) Fallopian tube recanalization: lessons learnt and future challenges. Women’s Health 6(4):531–549
Saunders RD, Shwayder JM, Nakajima ST (2011) Current methods of tubal patency assessment. Fertil Steril 95:2171–2179
Berker B, Sukur YE, Aytac R, Atabekoglu CS, Sonmezer M, Ozmen B (2015) Infertility work-up: to what degree does laparoscopy change the management strategy base on hysterosalpingography findings? J Obstet Gynaecol Res 41:1785–1790
Thurmond A (2013) Fallopian tube catheterization. Semin Intervent Radiol 30:381–387
Vardhana P, Silberzweig J, Guarnaccia M, Sauer M (2009) Hysterosalpingography with selective salpingography. J Reprod Med 54(3):45–49
Anil G, Tay K, Loh S, Yong T, Ong C, Tan B (2011) Fluoroscopy-Guided, transcervical, selective salpingography and fallopian tube recanalization. J Obstet Gynaecol 31:746–750
Verma A, Krarup K, Donuru A (2009) Selective salpingography and fallopian tube catheterization by guide wire. J Obstet Gynaecol 29(4):315–317
Papaioannou S, Afnan M, Sharif K (2004) The role of selective salpingography and tubal catheterization in the management of the infertile couple. Curr Opin Obstet Gynecol 16:325–329
Gleicher N, Karande V (1996) The diagnosis and treatment of proximal tubal disease. Hum Reprod 11:1825–1828
Papaioannou S, Afnan M, Girling A, Coomarasamy A, Ola B, Olufowobi O, McHugo J, Hammadieh N, Sharif K (2002) Long-term fertility prognosis following selective salpingography and tubal catheterization in women with proximal tubal blockage. Hum Reprod 17:2325–2330
American Fertility Society (1993) Guidelines for practice. American Fertility Society, Birmingham
National Collaborating Centre for Women’s and Children’s Health (UK) (2013) Fertility: assessment and treatment for people with fertility problems. NICE Clinical Guidelines, No. 156. Royal College of Obstetricians & Gynaecologists, London
Woolcott R, Petchpud A, ODonnell P (1995) Differential impact on pregnancy rate of selective salpingography tubal catheterization and wire guide recanalization in treatment of proximal fallopian tube obstruction. Hum Reprod 10:1423–1426
Papaioannou S, Afnan M, Girling AJ, Ola B, Olufowobi O, Coomarasamy A, Sharif K (2003) Diagnostic and therapeutic value of selective salpingography and tubal catheterization in an unselected infertile population. Fertil Steril 79:613–617
Luciano DE, Exacoustos C, Luciano AA (2014) Contrast ultrasonography for tubal patency. J Minim Invasive Gynecol 21(6):994–998
Maheux-Lacronix M, Boutin A, Moore L, Bergeron ME, Bujold E, Laberge P, Lemyre M, Dodin S (2014) Hysterosalpingosonography for diagnosing tubal occlusion in sub fertile women: a systemic review with meta-analysis. Hum Reprod 29:953–963
Luciano DE, Exacoustos C, Johns DA, Luciano AA (2011) Can hysterosalpingo-contrast sonography replace hysterosalpingography in confirming tubal blockage after hysteroscopic sterilization and in the evaluation of the uterus and tubes in infertile patients. Am J Obstet Gynecol 204(1):79–84
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Lazer, T., Meltzer, S., Saar-Ryss, B. et al. The place of selective hysterosalpingography and tubal canalization among sub-fertile patients diagnosed with proximal tubal occlusion. Arch Gynecol Obstet 293, 1107–1111 (2016). https://doi.org/10.1007/s00404-015-3998-1
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DOI: https://doi.org/10.1007/s00404-015-3998-1