Falloposcopic tuboplasty for bilateral tubal occlusion. A novel infertility treatment as an alternative for in-vitro fertilization?

Kou Sueoka, Hironori Asada, Shinichi Tsuchiya, Noriko Kobayashi, Masako Kuroshima, Yasunori Yoshimura

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

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 hysterosal-pingogram. 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 hysterosal-pingogram 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.

Original languageEnglish
Pages (from-to)71-74
Number of pages4
JournalHuman Reproduction
Volume13
Issue number1
DOIs
Publication statusPublished - 1998 Jan 1

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Keywords

  • Endosalpingial adhesiolysis
  • Falloposcopic tuboplasty
  • Linear everting catheter
  • Tubal occlusion

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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