Efficacy of Transcervical Fallopian Tube Catheterization in Infertility Patients with Fallopian Tube Occlusion
- Author:
Chan Woo PARK
1
;
Sun Hwa CHA
;
Kwang Moon YANG
;
Ae Ra HAN
;
Ji Hee YOO
;
In Ok SONG
;
Hye OK KIM
;
Inn Soo KANG
;
Mi Kyoung KOONG
;
Kyung Sang LEE
Author Information
1. Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University School of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Trans-cervical fallopian tube catheterization;
Hysterosalpingography
- MeSH:
Catheterization;
Catheters;
Fallopian Tubes;
Female;
Humans;
Hysterosalpingography;
Infertility;
Pregnancy;
Retrospective Studies
- From:Korean Journal of Fertility and Sterility
2010;37(4):321-327
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the significance and efficacy of trans-cervical fallopian tube catheterization (TFTC) in diagnosis and optimal treatment modality for tubal blockage. METHODS: The retrospective study was performed in those underwent TFTC from January 2005 to December 2009. A total of 342 fallopian tubes in 215 patients which showed tubal blockage in hysterosalpingography (HSG), were subjected to TFTC. Recanalization rate (RR) was compared according to portion of tubal blockage; proximal, isthmic and distal portion and blockage type; tapering, concave, and convex type. RESULTS: In total, RR was 72.5% (248/342 tube). According to the portion of tubal blockage, RR was 83.8% in proximal, 45.6% in isthmic and 100% in distal portion. RR was 92.3% in tapering, 80.2% in concave and 25.5% in convex type, respectively. There were 98 pregnancies in 156 patients after successful recanalization, which shows 62.7% pregnancy rate. CONCLUSION: TFTC were capable of recanalizing tubal blockage in 248 of 342 tubes in 156 of 215 patients (72.5%). The RR was increased with proximal portion and tapering type tubal blockage.
