Details

Autor(en) / Beteiligte

• Hovsepian, D M
• Bonn, J
• Eschelman, D J
• Shapiro, M J
• Sullivan, K L
• Gardiner, Jr, G A

Titel

Fallopian tube recanalization in an unrestricted patient population

Ist Teil von

• Radiology, 1994-01, Vol.190 (1), p.137

Ort / Verlag

United States

Erscheinungsjahr

1994

Quelle

MEDLINE

Beschreibungen/Notizen

• To review the effectiveness of fallopian tube recanalization (FTR) when performed without restriction based on history or tubal condition. From October 1989 to July 1992 in 37 consecutive women, aged 22-44 years (mean, 35 years), 42 FTRs were performed (five patients each underwent two FTRs). Water-soluble contrast material and selective ostial salpingography and/or microcatheter technique were used exclusively. Eighty tubes were evaluated, since four patients had previously undergone unilateral salpingectomy. Sixty-three tubes (79%) were occluded at the outset of the procedure. Complete recanalization was achieved in 45 of 63 (71%) occlusions. Adhesions were present in 25 of 80 (31%) tubes, salpingitis isthmica nodosa in 12 (15%), and hydrosalpinx in nine (11%). The 42 procedures resulted in 14 (33%) conceptions, nine (64%) of which involved pathologic tubes. Eleven intrauterine pregnancies resulted in five spontaneous first-trimester abortions, five full-term deliveries, and one continuing pregnancy. Favorable conception and live birth rates can be achieved with FTR, despite a high prevalence of tubal disease.