Use of selective salpingography (SS) and fallopian tube catheterization (TC) has revolutionized the diagnosis and treatment of proximal tubal infertility.
Aim
To evaluate results of women treated for proximal tubal obstruction by selective salpingography and tubal catherization.
Methods
Selective salpingography was performed in women with proximal bilateral tubal obstructions. Follow-up ranged from 4 to 12 months.
Results
twelve patients had been shown to have bilateral proximal obstruction of the fallopian tube. After SS/TC, patency was achieved in 8 cases. Spontaneous conceptions occurred in 4 women.
Conclusion
SS and TC should be used more widely because it is simple and effective in case of proximal tubal blockage.
El Fekih, C., Ouerdiane, N., Mourali, M., Oueslati, S., Binous, N., Chaabane, M., & Ben Zineb, N. (2012). Selective salpingography and tubal catheterization in infertile women. *La Tunisie medicale*, *90*(3), 233-237.
El Fekih C, Ouerdiane N, Mourali M, Oueslati S, Binous N, Chaabane M, et al. Selective salpingography and tubal catheterization in infertile women. Tunis Med. 2012;90(3):233-237.
El Fekih, Chiraz, et al. "Selective salpingography and tubal catheterization in infertile women." *La Tunisie medicale*, vol. 90, no. 3, 2012, pp. 233-237.
OBJECTIVE: To investigate the role of transcervical tubal catheterization in diagnosis and treatment of proximal tubal obstruction associated with salpingitis isthmica nodosa.
DESIGN: Retrospective c...
Surgery > Tubal Surgery > Catheter RecanalizationInfertility > Tubal Factor > Proximal Tubal ObstructionDiagnostics > Tubal Assessment > Selective Salpingography
Mårtensson O et al., 1993Acta Obstetricia Et Gynecologica Scandinavica
In 25 women with primary or secondary infertility, primary hysterosalpingography (HSG) or laparoscopy with chromopertubation indicated 33 proximal and 2 distal tubal obstructions. Four salpingectomies...
Surgery > Tubal Surgery > Transcervical RecanalizationInfertility > Tubal Factor > Proximal Tubal OcclusionDiagnostics > Tubal Assessment > Selective Salpingography
OBJECTIVE: To investigate the correlation between opacification and perfusion pressures during hysterosalpingography (HSG) and selective salpingography under the assumption that the latter may add to ...
Thurmond AS, 1991AJR. American Journal of Roentgenology
Obstruction of the uterine (proximal) end of the fallopian tube is noted on up to 20% of hysterosalpingograms and has a variety of underlying causes. Definitive diagnosis and treatment in the past hav...
Surgery > Tubal Surgery > Fallopian Tube RecanalizationInfertility > Tubal Factor > Proximal Tubal ObstructionDiagnostics > Imaging > Selective Salpingography