Transcervical fallopian tube recanalization: a safe and effective therapy for patients with proximal tubal obstruction.
Over a 13-month period, 14 patients with proximal tubal obstruction underwent transcervical fallopian tube recanalization under fluoroscopic guidance in an outpatient setting at the hospital of the University of Pennsylvania. Twenty-one of 24 attempted tubal dilations (87.5%) were successful, as demonstrated by tubal opacification and contrast spillage into the peritoneal cavity at the conclusion of the procedure. Four intrauterine pregnancies, and no ectopic pregnancies, have followed the recanalization. One pregnancy ended in an early miscarriage, one patient delivered a healthy term female, and two pregnancies are ongoing at greater than twenty weeks' gestation. Two procedure-related complications occurred: in one patient, the isthmic segment of a fallopian tube was perforated, but healed without incident, and another patient experienced a low-grade fever, which resolved with p.o. antibiotics. We therefore conclude that fallopian tube recanalization is a well-tolerated, safe, and effective procedure for the treatment of proximal tubal occlusion.
Division of Reproductive Medicine, University of Pennsylvania School of Medicine, Philadelphia.
K B
KB
Isaacson
M
M
Amendola
M
M
Banner
M
M
Glassner
S J
SJ
Sondheimer
D000328:Adult; D002404:Catheterization / Q000295:instrumentation; D002584:Cervix Uteri; D004106:Dilatation; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D011247:Pregnancy