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Human Reproduction, Vol. 7, No. suppl_1, pp. 7-11, 1992
© 1992 European Society of Human Reproduction and Embryology

Transcervical access and intra-luminal imaging of the Fallopian tube in the non-anaesthetized patient; Preliminary results using a new technique for Fallopian access

Otmar Bauer1, Klaus Diedrich, Steve Bacich*, Christopher Knight*, Guy Lowery*, Hans van der Ven, Andreas Werner and Dieter Krebs

University of Bonn, Department of Obstetrics and Gynaecology D-5300 Bonn-Venusberg, FRG * Imagyn Medical, Inc. 920 Calle Negocio San Clemente California, USA

Correspondence: 1To whom correspondence should be addressed

A study was performed to evaluate a new transcervical, Fallopian tube access system for use in falloposcopy procedures without the need for conventional hysteroscopy or uterine distension. Visualization was accomplished by the use of a 0.5 mm falloposcope which was delivered to the Fallopian tube by a new linear everting catheter. The linear everting catheter allows access to the Fallopian tube by means of a flexible, tubular rolling membrane which can safely negotiate the tortuous anatomy from the ostium to the ampulla. Concurrent laparoscopy was performed solely for supervision purposes and not for tubal manipulations in 13 Fallopian tube access procedures in 10 patients. The ostia were visualized in 12 cases and the Fallopian tube was accessed in all 12 without complications. As a precursor for future gamete and embryo transfer procedures, intra-tubal insemination was performed by visualizing the ostia, accessing the Fallopian tubes, and obtaining successful isthmic-ampullary, intra-luminal images.

Key words: falloposcopy/transcervical catheterization/intratubal insemination/hysteroscopy (lack of)


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