Treatment of infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy.
OBJECTIVE
To evaluate the efficacy of treatment for infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy.


METHODS
Eighty-eight infertile women who underwent selective tubal catheterization with insufflation of oil-soluble radiopaque dye were reviewed. The efficacy of treatment was analyzed with regard to conception rate.


RESULTS
The conception rate after selective tubal catheterization was higher in women with endometriosis (60%) than in women without endometriosis (36.5%) (p < 0.05). Most women conceived within the first 4 months after treatment. No statistical difference in conception rate was observed among patients with stage I, II, or III disease.


CONCLUSIONS
Selective tubal catheterization with insufflation of oil-soluble radiopaque dye was an effective treatment for infertility associated with endometriosis.
Department of Obstetrics and Gynecology, School of Medicine, University of the Ryukyus, Okinawa, Japan.
T
T
Sakumoto
T
T
Shinkawa
H
H
Izena
M
M
Sakugawa
N
N
Takamiyagi
K
K
Inafuku
K
K
Kanazawa
D002404:Catheterization; D016009:Chi-Square Distribution; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005306:Fertilization; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy