Proximal occlusion of hydrosalpinx by hysteroscopic placement of microinsert before in vitro fertilization-embryo transfer.
OBJECTIVE
To describe proximal occlusion of a hydrosalpinx by hysteroscopic placement of a microinsert before IVF-ET.


METHODS
Case report.


METHODS
Health maintenance organization and tertiary-care assisted reproductive technology unit.


METHODS
Obese, infertile woman with pelvic adhesive disease and unilateral hydrosalpinx.


METHODS
Hysteroscopic placement of a microinsert into the proximal segment of a fallopian tube that was distally obstructed by hydrosalpinx. No intraoperative or postoperative complications occurred with hysteroscopic placement of microinsert.


METHODS
Nonincisional proximal tubal occlusion under local anesthesia and intravenous sedation. Pregnancy by IVF-ET.


RESULTS
No intraoperative or postoperative complications with hysteroscopic placement of microinsert were seen. After uterine transfer of three embryos, dichorionic-diamniotic twins were delivered by cesarean section at 34 weeks of gestation.


CONCLUSIONS
Hysteroscopic placement of a microinsert to proximally occlude a hydrosalpinx might be an alternative to laparoscopic proximal tubal occlusion or salpingectomy in patients with tubal disease planning IVF-ET.
Rosenfield
Richard B
RB
Permanente Medical Group, Portland, Oregon.
Stones
Rebecca E
RE
Coates
Alison
A
Matteri
Robert K
RK
Hesla
John S
JS
D000328:Adult; D004624:Embryo Transfer / Q000009:adverse effects*; D005187:Fallopian Tubes / Q000473:pathology* / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D050498:Live Birth