[Tubal catheterization with selective salpingography in the diagnosis and therapy of fallopian tube obstruction].
Fallopian tube catheterization with selective ostial [correction of osteal] salpingography is a new technique for the diagnosis of tubal factors of infertility and also for the treatment of proximal tubal occlusion (PTO). In this study, 246 women were considered, 20-42 years old, with primary or secondary infertility, who presented a unilateral or bilateral PTO at hysterosalpingography (HSG). Catheterization and selective salpingography have been successful in 93.9% of the cases. Failures (5.6%) have been ascribed to obstructive organic diseases, where it was impossible to overcome the stenosis with the catheter or the guide-wire. Twenty-six spontaneous pregnancies were obtained (15 full-term deliveries) and 17 patients became pregnant after GIFT (13 full-term deliveries). At follow-up, after 12 months 4 of 10 patients had normal tubes, while 6 patients presented a new unilateral or bilateral PTO. No major complications occurred; nevertheless, ectopic pregnancy is a possible event, because of the mechanically re-established patency in a nonfunctioning tube.
Mallarini
G
G
Istituto di Radiologia dell'Università, Genova.
Zanon
E
E
Ferraiolo
A
A
Righi
D
D
Giuliano
A
A
Fonio
P
P
Gandini
G
G
D000328:Adult; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D005187:Fallopian Tubes; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000295:instrumentation / Q000379:methods*; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000628:therapy; D015641:Radiography, Interventional / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*
Il cateterismo tubarico con salpingografia selettiva nella diagnosi e terapia dell'ostruzione delle tube di Fallopio.