Abstract
PURPOSE: To evaluate the role of transcervical fallopian tube catheterization in restoring tubal patency after ligation reversal surgery. MATERIALS AND METHODS: Twenty-four women with tubal obstruction after ligation reversal surgery underwent selective salpingography and tubal recanalization. RESULTS: Patency was established in 26 (68%) of 38 anastomotic tubes without complication. In the 13 patients who were followed up and who could conceive only via a recanalized anastomotic tube, there were six (46%) pregnancies: two (15%) successful uterine pregnancies, two (15%) early spontaneous abortions, and two (15%) tubal pregnancies. The mean time from procedure to conception was 2 months. CONCLUSION: Patency of fallopian tubes not visualized at hysterosalpingography after ligation reversal surgery can be established 68% of the time with selective salpingography. In some patients, selective salpingography can be therapeutic. If subsequent conception occurs in these patients, it occurs shortly after the catheterization procedure.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 747-750 |
| Number of pages | 4 |
| Journal | Radiology |
| Volume | 210 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1999 |
Keywords
- Fallopian tubes, interventional procedure
- Fallopian tubes, stenosis or obstruction
- Sterility
- Uterus, radiography
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging