Human Reproduction, Vol 13, 71-74, Copyright © 1998 by Oxford University Press
K Sueoka, H Asada, S Tsuchiya, N Kobayashi, M Kuroshima and Y Yoshimura
The linear everting (LE) catheter has been developed to safely guide a
Falloposcope into the entire length of Fallopian tube in order to observe
the tubal lumen. It may also be useful therapeutically for the
recanalization of occluded tubes. Fifty infertility patients who had been
diagnosed with proximal, mid and distal tubal occlusion by
hysterosalpingogram, Rubin test and hysteroscopic selective hydrotubation,
were selected to undergo Falloposcopic tuboplasty (FT). Patients having
hydrosalpinges were excluded from the study group. The total number of
tubes treated was 102 during 53 FT procedures. On the basis of tubes
attempted, the LE catheter successfully accessed 85.3% (87/102). A
follow-up hysterosalpingogram was completed 1-3 months following the FT
procedure, which revealed an overall patency rate of 79.4% (81/102). During
FT, a high incidence of multiple adhesions was observed in the entire
length of tubal lumen in patients having bilateral occlusions. To date, the
total number of pregnancies following FT treatment is 11 over a follow-up
period of 2 months to 3 years. FT has been established as a highly useful,
less invasive and novel treatment for tubal infertility. This technique may
be useful in selected patients with tubal infertility.
ARTICLES
Falloposcopic tuboplasty for bilateral tubal occlusion. A novel infertility treatment as an alternative for in-vitro fertilization?
Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
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