title: Fluoroscopy-guided, transcervical, selective salpingography and fallopian tube recanalisation.
abstract: This study is a retrospective review of the transcervical fluoroscopy-guided fallopian tube recanalisation (FTR) procedures done in a multi-ethnic south-east Asian population, over 9 years. A total of 100 patients with infertility and documented proximal tubal obstruction (PTO) were referred for FTR. On-table hysterosalpingography under sedation demonstrated true PTO in 96 patients. At selective-salpingography, the PTO cleared in 16 patients; 78 required FTR and two had fimbrial blockage. The technical success rate of FTR was 86.8% and the post-FTR pregnancy rate was 36.84% at a mean follow-up interval of 12.2 months. There were no major, immediate procedure-related complications. There was an ectopic pregnancy in a single treated patient. Fluoroscopy-guided FTR is a safe treatment option in patients with infertility from PTO, with high technical success rate, low complication rate and increased chances of pregnancy; therefore it should be preferred before attempting more expensive and resource-intensive procedures.
authors.affiliation: Department of Radiology, National University Hospital, Singapore. ivyanil10@gmail.com
authors.forename: G
authors.initials: G
authors.lastname: Anil
authors.forename: K H
authors.initials: KH
authors.lastname: Tay
authors.forename: S F
authors.initials: SF
authors.lastname: Loh
authors.forename: T T
authors.initials: TT
authors.lastname: Yong
authors.forename: C L
authors.initials: CL
authors.lastname: Ong
authors.forename: B S
authors.initials: BS
authors.lastname: Tan
mesh_terms: D000328:Adult; D001210:Asia, Southeastern; D002404:Catheterization / Q000379:methods; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods*; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000601:surgery; D011247:Pregnancy; D012189:Retrospective Studies; D055815:Young Adult