A new selection criterion for fimbriectomy reversal.
OBJECTIVE
To assess a new criterion for selection of patients who request reversal of fimbriectomy sterilization.


METHODS
Prospective study.


METHODS
Division of reproductive endocrinology and infertility in an academic center.


METHODS
Eight patients undergoing reversal of fimbriectomy using microsurgical techniques. The prerequisite inclusion criterion was the presence of more than 50% ampulla as shown at hysterosalpingography. This is easily determined, because the isthmic length approximates one half the ampullary length.


RESULTS
The cumulative intrauterine pregnancy rate was 50%. There were no ectopic pregnancies.


CONCLUSIONS
Similar pregnancy rates for reversal of fimbriectomy have been reported based upon different absolute selection criteria (viz., tubal length of > or = 8 cm and ampullary width of > or = 1 cm). By contrast, our new selection criterion is based upon the more readily determined proportion of ampulla that is available for surgical neostomy.
Rouzi
A A
AA
Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
McComb
P F
PF
D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D018579:Patient Selection; D011446:Prospective Studies; D013243:Sterilization Reversal; D013246:Sterilization, Tubal