1Sonali Soni

1Navya Diagnostic Center

Background(s):

Transcervical fallopian recanalisation was tried in patients diagnosed as proximal tube obstruction either on hysterosalpingography or laparoscopy , under fluoroscopic guidance.

Material(s) and Method(s):

Under fluoroscopic control special double balloon introducing catheter , a J shaped selective salpingography catheter and a hydrophillic terumo guide wire were used in recanalisation of proximal tube obstruction. four hundred fifty eight patients diagnosed as proximal tube obstruction on hysterosalpingography or laproscopy , underwent selective salpingography.If selective salpingography failed to opacify tubes then  terumoguide wire mediated fallopian tube recanalisation was done.Tube patency was again confirmed by selective salpingography & HSG. Outcome measures:Tube opacification (whether normal or diseased distal tubes),pregnancy and follow up HSG /selective salphingography for reocclusion .

Result(s):

Out of 758 patients of proximal fallopian tube occlusion,SSG was successful in 25% patients.Rest75%patients underwent guide wire mediated recanalisation.Out 638,distal occlusion and hydrosalpinx was seen in 74 patients,576 patients were followed up with intrauterine pregnancy in 35% patients and extra uterine pregnancy in 2%patients ,patent tubes on follow up in 106 cases,10 patients had re occlusion out of which 8 were again canalized ,and 92 cases are in follow up stage.

Conclusion(s):

Trancervical fallopian tube recanalisation is an effective non invasive OPD procedure as the initial diagnostic procedure for proximal tubal obstruction .It can be done prior to in vitro fertilization and microsurgery.It is recommended as initial mode of treatment for tubal blocks by American Infertility Society.