New technique for selective transcervical osteal salpingography and catheterization in the diagnosis and treatment of proximal tubal obstruction.
Transcervical fallopian tube catheterization to recanalize the proximal (uterine end) fallopian tube are rapidly gaining acceptance for the diagnosis and treatment of tubal obstruction. We describe a new simplified technique for performing this procedure. Our technique obviates the need for hysterocaths and assures delivery of an atraumatic spherical tip of a cannula to the uterotubal junction. Compared with other techniques, it is quick with no need for IV or paracervical anesthesia or analgesia, no cervical dilatation, nor the use of Hyskon nor CO2 insufflation devices.
Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, Ohio 44109.
K
K
Ataya
M
M
Thomas
D000328:Adult; D002404:Catheterization; D002584:Cervix Uteri; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000628:therapy; D004867:Equipment Design; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000295:instrumentation / Q000379:methods*; D013525:Surgical Instruments