Transcervical Fallopian Tube Catheterization for Diagnosis and Treatment of Female Infertility

  • Andrew M. Singer
  • David H. Porter


Fluoroscopically guided hysterosalpingography (HSG) is a routine method of investigation of cervical, uterine, tubal, and peritubal anatomy and pathology. It is a fairly straightforward procedure to perform, has an extremely low complication rate, arid is well tolerated by the patient.1–3 However, there is a significant frequency of transient obstruction to flow of contrast through the tube(s) during HSG, often caused by debris within the tube or spasm of the fallopian tube4,5. Glucagon, terbutaline, and other substances have been used without significant success in attempts to prevent spasm.6,7


Fallopian Tube Tubal Ostium Gamete Intrafallopian Transfer Transient Obstruction Proximal Tubal Occlusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Winfield AC, Wentz AC. Diagnostic imaging of infertility. Baltimore: Williams amp Wilkins, 1987.Google Scholar
  2. 2.
    Whalen E. The Society of Uroradiology 1989 scientific session, September 23-24. AJR 1990; 154: 11–15.Google Scholar
  3. 3.
    Wolf DM, Spatato RF. The current state of hysterosalpingography. Radiographics 1988; 8: 1041–1058.PubMedGoogle Scholar
  4. 4.
    Sulak PJ, Letterie GS, Coddington CC, Hayslip CC, Woodward JE, Klein TA. Histology of proximal tubal occlusion. Fertil Steril 1987; 48: 437–440.PubMedGoogle Scholar
  5. 5.
    Thurmond AS, Ropsch J, Patton P, Burry KA, Novy M. Fluoroscopic transcervical fallopian tube catheterization for diagnosis and treatment of female infertility caused by tubal obstruction. Radiographics 1988; 8: 621–640.PubMedGoogle Scholar
  6. 6.
    Thurmond AS, Novy M, Rosch J. Terbutaline in diagnosis of interstitial fallopian tube obstruction. Invest Radiol 1988; 23: 209–210.PubMedCrossRefGoogle Scholar
  7. 7.
    Winfield AC, Pittaway D Maxson W, Daniell J, Wentz AC. Apparent corneal occlusion in hysterosalpingography: Reversal by glucagon. Am Journal Radiol 1982; 139: 525–527.Google Scholar
  8. 8.
    Platia MP, Krudy AG. Transvaginal fluoroscopic recanalization of a proximally occluded oviduct. Fertil Steril 1985; 44 (5): 704–706.PubMedGoogle Scholar
  9. 9.
    Thurmond AS, Novy M, Uchida BT, Rosch J. Fallopian tube obstruction: Selective salpingography and recanalization. Radiology 1987; 163: 511–514.PubMedGoogle Scholar
  10. 10.
    Thurmond AS, Rosch J. Nonsurgical fallopian tube recanalization for treatment of infertility. Radiology 1990; 174: 371–374.PubMedGoogle Scholar
  11. 11.
    Thurmond AS, Uchida BT, Rosch J, Device for hysterosalpingography and fallopian tube catherization. Radiology 1990; 174: 571–572.PubMedGoogle Scholar
  12. 12.
    Confino E, Friberg J, Gleicher N. A new stirrable catheter for gamete intrafallopian transfer (GIFT). Fertil Steril 1986; 46: 147–1149.Google Scholar
  13. 13.
    Thurmond AS Rosch J. Fallopian tubes: Improved techniques for catherization. Radiology 1990; 174: 572–573.PubMedGoogle Scholar
  14. 14.
    Lang EK, Dunaway HE, Roniger WE. Selective osteal salpingography and transvaginal catheter dilation in the diagnosis and treatment of fallopian tube obstruction. Am journal Radiol 1990; 154: 735–740.Google Scholar
  15. 15.
    Confino E, Friberg J, Gleicher N. Preliminary experience with transcervical ballon tuboplasty. Am J Obstet Gynecol 1988; 159: 370–375.PubMedGoogle Scholar
  16. 16.
    Confino E, Tur-Kaspa I, DeCherney A, et al. Transcervical ballon tuboplasty. A multicenter study. JAMA 1990; 264: 2079–2028.PubMedCrossRefGoogle Scholar
  17. 17.
    Risquez F, Mathieson J, Zorn JR. Tubal cannulation via the cervix: a passing fancy — or here to say? [editorial] J In Vitro Fert Embryo Transf 1990 Dec; 7 (6): 301–3.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • Andrew M. Singer
  • David H. Porter

There are no affiliations available

Personalised recommendations