Abstract
Tubal occlusion is the cause of 25%-30% of female infertility (CONFINO et al. 1986, 1990). After excluding other factors associated with infertility or subfertility, such as diethylstilbestrol treatment, endometriosis, the male factor, immunologic factors, and anovulation, diagnostic investigations are directed to affirm or disprove tubal occlusion and to localize the site of the occlusion to the proximal or distal tube (BENADIVA et al. 1995). Based on these findings a choice is between a multitude of surgical or transcervical tuboplasty procedures, in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), intrauterine insemination, and fallopian sperm perfusion (DECHERNEY 1987). Thorough understanding of the anatomy, physiology, pharmacology, and pathophysiology of obstructed tubes is mandatory to select the optimal modality for a given patient (KARANDE et al. 1995).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bateman BG, Nunley WC Jr, Kitchin JV III (1987) Surgical management of distal tubal obstruction - are we making progress? Fertil Steril 48:523–542
Benadiva CA, Kligman I, Davis 0, Rosenwaks Z (1995) Invitro fertilization versus tubal surgery: is pelvic reconstructive surgery obsolete? Fertil Steril 64:1051–1061
Bodkhe RR, Harper MJK (1973) Mechanism of egg transport: changes in the amount of adrenergic transmitter in the genital tract of normal and hormone treated rabbits. In: Segal N, Crozier SJ (eds) Regulation of mammalian reproduction. Thomas, Springfield, Illinois, 364
Breckenridge JW, Schinfeld JS (1991) Technique for ultrasound guided fallopian tube catherization. Radiology 180:569–570
Burner ST, Waldo BR, McKusick DR (1992) National health expenditure projections through 2030. Health Care Financing Review 14:1–29
Canis N, Mage G, Pouly JL, Manhes H, Wattiez A, Bruhat MA (1991) Laparoscopic distal tuboplasty: report of 87 cases and a 4 year experience. Fertil Steril 56:616–621
Capitanio GL, Ferraiolo A, Croce S, Gazzo R, Anserini P, DeCecco L (1991) Transcervical selective salpingography; a diagnostic and therapeutic approach to cases of proximal tubal injection failure. Fertil Steril 56:1145–1150
Carey M, Brown S (1987) Infertility surgery for pelvic inflammatory disease; success rates after salpingolysis and salpingostomy. Am J Obstet Gynecol 156:296–300
Collins JA, Bustillo N, Visscher RV, Lawrence LB (1995) An estimate of the cost of invitro fertilization services in the United States in 1995. Fertil Steril 64:538–545
Confino E, Friberg J, Gleicher N (1986) Transcervical balloon tuboplasty. Fertil Steril 46:963–966
Confino E, Friberg J, Gleicher N (1988) Preliminary experience with transcervical balloon tuboplasty. Am J Obstet Gynecol 159:370–375
Confino E, Tur-Aspa I, DeCherney A, et al. (1990) Transcervical balloon tuboplasty; a multi-center study. JAMA 264:2079–2082
Croxatto HB, Oritz ME, Diaz S, et al. (1978) Studies on the duration of egg transport by the human oviduct; ovum location of various intervals following luteinization hormone peak. Am J Obstet Gynecol 132:629–641
Danieli JF, Miller W (1987) Hysteroscopic correction of cornual occlusion with resultant term pregnancy. Fertil Steril 48:490–493
DeCherney AH (1987) Anything you can do, I can do better -or differently. Fertil Steril 48:374–376
DeCherney AH (1995) Infertility; we’re not taking new patients. Fertil Steril 64:470–474
DeCherney AH, Kase N (1981) A comparison of treatment for bi-lateral fimbrial occlusion. Fertil Steril 35:162–167
Donnez J, Casanas-Roux F (1986) Prognostic factors influencing the pregnancy rate after micro-surgical cornual anastomosis. Fertil Steril 46:1089–1092
Elder MG, Myatt L, Chandhun G (1977) The role of prostaglandin in the spontaneous motility of the fallopian tube. Fertil Steril 28:86–92
Fayez JA, Suliman SO (1982) Infertility surgery of the oviduct; comparison between macro-surgery with micro-surgery. Fertil Steril 37:73–78
Gillett WR, Herbison GP (1989) Tubo-cornual anastomosis; surgical considerations and co-existent infertility factors in determining the prognosis. Fertil Steril 51:241–246
Hayashi N, Kimoto T, Sakai T, et al. (1994) Fallopian tube disease; limited value of treatment with fallopian tube catheterization. Radiology 190:141–144
Hedgpeth PL, Thurmond AS, Fry R, Schmidgall JR, Rosch J (1991) Radiographic fallopian tube recanalization; absorbed ovarian radiation dose. Radiology 180:121–122
Hershlag A, Diamond MP, DeCherney AH (1989) Tubal physiology; an appraisal. J. Gynecol Surg 5:3–25
Hodgson BJ, Talo A (1978) Spike burst in rabbit oviduct; effects of estrogen and progesterone. Am J Physiol 334:E439
Holtz N, Maltau JN, Forstahl F, Hansen LJ (1991) Handling of tubal infertility after introduction of in vitro fertilization; changes and consequences. Fertil Steril 55:140–143
Jacobs LA, Lapthie J, Patton PE, Williams TJ (1988) Primary micro-surgery for post-inflammatory tubal infertility. Fertil Steril 50:855–859
Jansen RPS, Anderson JC (1987) Catheterization of the fallopian tubes from the vagina. Lancet II:309–310.
Jean Y, Langlais J, Roberts KB, Chapdelaine A, Bleu T (1979) Fertility of women with non-functional ciliated cells in the fallopian tubes. Fertil Steril 31:349–354
Jones HW Jr, Rock JA (1983) Reparative and constructive surgery of the female generative tract. Williams 8 Wilkins, Baltimore, MD.
Karande VC, Rao R, Pratt VE, et al. (1995) A randomized perspective comparison between intrauterine insemination and fallopian sperm perfusion for treatment of infertility. Fertil Steril 64:638–640
Keltz MD, Kliman HJ, Arici AM, Olive VL (1995) Endosalpingosis found at laparocolostomy for chronic pelvic pain. Fertil Steril 64:482–486
Kerin J, Dayhovsky L, Grundfest W, Surrey E (1990) Falloscopy a micro-endoscopic transvaginal technique for diagnosing and treating endo-tubal disease incorporating guidewire canulation and direct balloon tuboplasty. J Reprod Med 35:606–612
Kornega M, Kadota T (1981) Changes in mechanical properties of the circular muscles of the isthmus of the human fallopian tube in relation to hormonal domination and postovulatory time. Fertil Steril 36:343–351
Kumpe DA, Zwerdlinger SC, Rothbarth LJ, Durham JD, Alb recht BH (1990) Proximal fallopian tube occlusion; diagnosis and treatment with transcervical fallopian tube catheterization. Radiology 177:183–187
LaBerge JM, Pomec VJ, Gordon RL (1990) Fallopian tube catheterization; modified flouroscopic technique. Radiology 176:283–284
Lang EK (1990) Selective salpingography and transvaginal bougie dilation of strictures of the fallopian tubes. Digitale Bildgebung. Schneider, Berlin, pp 347–352
Lang EK (1991a) Organic versus functional obstruction of the fallopian tubes; differentiation with prostaglandin antagonist and beta agonist mediated hysterosalpingography and selective ostialsalpingography. AJR 157:77–80
Lang EK (1991b) Ostialsalpingography and transvaginal fallopian tube recanalization. Contemp Diagn Radiol 14:1–5
Lang EK (1995) Transvaginal recanalization of occluded fallopian tubes. Minimally Invasive Therapy 4:129–135
Lang EK, Dunaway HH (1994) Transcervical recanalization of strictures of the post-operative fallopian tube. Radiology 191:507–512
Lang EK, Dunaway HH (1996) Recanalization of obstructed fallopian tube by selective salpingrography and transvaginal bougie dilation; outcome and cost analysis. Fertil Steril 66:210–215
Lang EK, Dunaway HE, Roniger WE (1990) Selective ostialsalpingography and transvaginal catheter dilatation in the diagnosis and treatment of fallopian tube obstruction. AJR 154:735–740
Lang EK, Doody MC, Dunaway HH (1992) Ostialsalpingography and transcervical percutaneous recanalization of the proximal tubes. Lippincott’s Review Radiology 1:547–561
Lauritsen JP, Pagel JD, Vangsted P, Starup J (1982) Results of repeated tuboplasties. Fertil Steril 37:68–72
Lavy G, Diamond MP, DeCherney AH (1986) Pregnancy following tubocornual anastomosis. Fertil Steril 46:21–25.
Letterei GS, Sakas EL (1991) Histology of proximal tubal obstruction in cases of unsuccessful tubal canalization.Fertil Steril 56:831–835
Lindblom B, Hamberger L, Ljumg B (1980) Contractile patterns of isolated oviductal smooth muscle under different hormonal conditions. Fertil Steril 33:283–294
Lisse K, Sydow P (1991) Fallopian tube catheterization and recanalization under ultrasound observation; a simplified technique to evaluate tubal pregnancy and open proxi- mally obstructed tubes. Fertil Steril 56:198–201.
Molloy D, Doody ML, Breen T (1995) Second time around: a study of patients seeking second assisted reproduction pregnancies. Fertil Steril 64:546–551
Maubon A, Thurmond A, Laurent A, Honiger J, Scanlan R, Rouanet JP (1994) Selective tubal sterilization in rabbits; experience with hydrogel combined with sclerosing agent. Radiology 193:721–723
Meyerovitz MF (1991) Hysterosalpingography and fallopian tube cannulation; use of double balloon introducing catheters. Radiology 181:901–902.
Movsepian DM, Eschelman DJ, Shapiro MY, Sullivan Kl, Cardiver GA Jr (1994) Fallopian tube recanalization in an unrestricted patient population. Radiology 190:137–141
Musich J, Behrman S (1983) Surgical management of tubal obstruction at the utero-tubal junction. Fertil Steril 40:4232013440
Muzii L, Marana R, Mancuso S (1996) Distal fallopian tube occlusion: false diagnosis with hysterosalpingography in cases of tubal diverticula. Radiology 199:469–472
Nakamura K, Ishuguchit T, Maekoshi H, et al. (1996) Selective fallopian tube catheterization in female infertility and absorbed radiation dose. Eur Radiol 6:465–469
Neumann PJ, Weinstein MC, Gharib ST (1994) The cost of a successful delivery with invitro fertilization. N Engl J Med 331:329–343
Novy MJ (1994) Concurrent tuboplasty and assisted reproduction. Fertil Steril 62:242–245
Patton PE, Williams TJ, Coulam CB (1987) Micro-surgical reconstruction of the proximal oviduct. Fertil Steril 47:35–39
Petersen BD, Rosch T (1994) Complications of fallopian tube recanalization. Cardiovasc Intervent Radiol 11:237–239
Platia MP, Krudy AG (1985) Transvaginal fluoroscopic recanalization of proximally occluded oviduct. Fertil Steril 44:704–706
Risquesz F, Confino E (1993) Transcervical tubal recanalization of past, present and future. Fertil Steril 60:211–226
Rock JA (1983) Reconstruction of the fallopian tube. In: Jones HW Jr, Rock JA (eds) Reparative and constructive surgery of the female genital tract. Williams and Wilkins, Baltimore, MD, pp 381–410
Rock JA, Katyama P, Martin EJ, Wodruff JD, Jones AW Jr (1978) Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction. Obstet Gynecol 52:591–596
Rock JA, Bergquist CA, Kimball AW Jr, et al. (1984) Comparison of the operating microscope and loupe for microsurgical tubal anastomosis; a randomized clinical trial. Fertil Steril 41:229–235
Rubin IC (1954) Utero-tubal insufflation; value in treatment of tubal obstruction to ovular migration. Fertil Steril 4:311–323
Russell JB, DeCherney AH, Laufer N, Poland ML, Naftolin F (1986) Neosalpingostomy; comparison of twenty-four and seventy-two months follow-up time shows increased pregnancy rate. Fertil Steril 45:296–298
Sandberg FA, Ingelman-Sandberg A, Ryden G (1963) The effects of prostaglandin E on the human uterus and on the fallopian tubes invitro. Acta Obstet Gynecol Scand 42:269–278
Schlaff WD, Hassiagkos DK, Damewood MD, Rock JA (1990) Neosalpingostomy for distal tubal obstruction; prognostic factors and impact of surgical technique. Fertil Steril 54:984–990
Schmitz-Rode T, Ross P, Timmermans H, Thurmond AS, Gunther R, Rosch J (1994) Experimental non-surgical female sterilization; transcervical implantation of micro-spindels in fallopian tubes. J Vase Intervent Radiol 5:905–90a
Schroder C (1884) Die Excision von Ovarientumoren mit Erhaltung des Ovarium. Zentralbl Gynakol 8:716–721
Shapiro BS, Diamond MP, DeCherney AH (1988) Salpingoscopy; an adjunct technique for evaluation of the fallopian tube. Fertil Steril 49:1176–1181
Shushan A, Eisenberg VH, Schenker JG (1995) Sub-fertility in the area of assisted reproduction; changes and consequences. Fertil Steril 64:459–469
Snoden EU, Jarrett JC, Dawood MY (1984) Comparison of diagnostic accuracy of laparoscopy, hysteroscopy and hysterosalpingography in evaluation of female infertility. Fertil Steril 41:709–713
Spilman GH, Harper MJK (1974) Comparison of the effects of adrenergic drugs and prostaglandins on rabbit oviductal motility. Biol Reprod 10:549–556
Society Assisted Reproductive Technology (1996) Assisted reproductive technology in the United States and Canada: 1994 results generated from the American Society for Reproductive Medicine - Reproductive Technology Registry. Fertil Steril 66:697–705
Strom CH, Dahlstron A, Lindblom B, Ahlman H (1983) Effects of intra-luminal administration of adrenoreceptor agonists on transisthmic flow in the rabbit oviduct. Biol Reprod 29:295–316
Sulak PJ, Letterie GS, Coddington CC, Hayslip CC, Woodward JE, Klein TA (1987) Histology of proximal tubal occlusion. Fertil Steril 48:437–440
Swart P, Mol BWJ, Van der Veen F, Van Beurden M, Radekap WK, Bossuyt PMM (1995) The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril 64:486–491
Thurmond AS (1992) Transcervical fallopian tube recanalization. Semin Intervent Radiol 9:80–86
Thurmond AS (1994) Pregnancy after selective salpingography and tubal recanalization. Radiology 190:11–15
Thurmond AS, Rosch J (1990) Non-surgical fallopian tube recanalization for treatment of infertility. Radiology 174:371–374
Thurmond AS, Rosch J, Patton PE, Burry KA, Novy MJ (1988a) Fluroscopic transcervical fallopian tube catheterization for diagnosis and treatment of female infertility caused by tubal obstruction. Radiographics 8:621–640
Thurmond AS, Novy MJ, Rosch J (1988b) Terbutaline in diagnosis of interstitial fallopian tube obstruction. Invest Radiol 23:209–210
Thurmond AS, Uchida BT, Rosch J (1990) Device for hysterosalpingography in fallopian tube catherization. Radiology 174:571–572
Thurmond AS, Hedgpeth PL, Scanlan RM (1991) Selective injection of contrast medium; inflammatory effects on rabbit’s fallopian tube. Radiology 180:97–99
Thurmond AS, Torres MK, Mullik B, Kessel E (1995) Reversal of sterilization due to application of quinacrine by means of transcervical tubal catheterization. J Vasc Intervent Radiol 6:147–150
Thie JL, Williams TJ, Coulam CD (1986) Repeat tubo-plasty compared with primary micro-surgery for post inflammatory tubal disease. Fertil Steril 45:784–788
Tulandi T, Vilos GA (1985) A comparison between laser surgery and electro surgery for bi-lateral hydrosalpinx; a two-year follow-up. Fertil Sertil 44:846–851
Urman B, Gomel B, McComb P, Lee N (1992) Mid-tubal occlusion; etiology management and outcome. Fertil Steril 57:747–750
Vasquez G, Vemer HM, Boeckx WD, Brasens IA (1984) Ciliogenesis following salpingostomy of rabbit hydrosalpinx. Eur J Obstet Gynecol Reprod Biol 18:103–107
Wadin K, Lonuemark M, Rasmussen C, et al. (1994) Frequency of proximal tubal obstruction in patients undergoing infertility evaluation. Acta Radiol 35:357–362
Winfield AC, Pittaway D, Maxson W, Danieli J, Went AC (1982) Apparent cornual occlusion in hysterosalpingography; reversal by glucagon. AJR 139:525–527
Winston RML (1977) Micro-surgical tubo cornual anastomosis for reversal of sterilization. Lancet 1:284–288
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Lang, E.K., Dunaway, H.H. (1998). Selective Salpingography and Transcervical Recanalization of Obstructed Fallopian Tubes. In: Lang, E.K. (eds) Radiology of the Female Pelvic Organs. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60260-3_13
Download citation
DOI: https://doi.org/10.1007/978-3-642-60260-3_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-64324-8
Online ISBN: 978-3-642-60260-3
eBook Packages: Springer Book Archive