Hysterosalpingography with selective salpingography.
OBJECTIVE
To evaluate the use of selective salpingography to achieve tubal patency in patients with proximal fallopian tube occlusion on hysterosalpingography (HSG).


METHODS
We performed a retrospective cohort study on 116 infertile women (age 37.7 +/- 4.6 years) with proximal tubal obstruction treated with selective salpingography. Success was defined as opening at least 1 fallopian tube. Pregnancy was defined as having a positive beta-hCG level.


RESULTS
A total of 151 tubes were blocked on HSG before tubal catheterization; 103 tubes were opened by selective salpingography. Of 116 patients, 84 (72.4%) had successful procedures with at least 1 tube opened by catheterization. Of the 116, 32 (27.6%) had failed procedures with no tubes opened. Of 83 patients, 30 (36.1%) with successful procedures achieved pregnancy. Of these pregnancies, 16 occurred spontaneously or following ovulation induction and 5 pregnancies occurred in the failure group, allfollowing in vitro fertilization.


CONCLUSIONS
Selective salpingography is useful in demonstrating tubal patency, reducing the diagnosis of tubal disease and potentially minimizing surgery in infertile patients.
Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, USA.
Pratibhasri A
PA
Vardhana
James E
JE
Silberzweig
Michael
M
Guarnaccia
Mark V
MV
Sauer
D000328:Adult; D002404:Catheterization; D006063:Chorionic Gonadotropin / Q000097:blood*; D015331:Cohort Studies; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D005186:Fallopian Tube Patency Tests; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods*; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000628:therapy*; D011247:Pregnancy / Q000097:blood; D018873:Pregnancy Rate; D012189:Retrospective Studies; D016896:Treatment Outcome
D006063:Chorionic Gonadotropin