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Placement of a Malecot catheter to enable embryo transfer after radical trachelectomy
Thomas R Aust1, J Jonathan O Herod, Rafet Gazvani
1Hewitt Centre for Reproductive Medicine, Liverpool Women's Hospital, Liverpool, United Kingdom. tomaust@doctors.org.uk
Objective:
To describe the use of a Malecot catheter as a stent after radical trachelectomy (RT).
Design:
Case report.
Setting:
Assisted conception unit at a teaching hospital in the United Kingdom.
Patient(S):
A 36-year-old woman undergoing IVF after her cervix had been excised for cervical carcinoma. Previous attempts at embryo transfer (ET) had been very traumatic and required a transmyometrial transfer on one occasion.
Intervention(S):
A Malecot catheter was inserted into the uterine cavity after a dilatation procedure had been performed and removed before ovarian stimulation.
Main Outcome Measure(S):
Ease of ET.
Result(S):
The subsequent ET was much more straightforward.
Conclusion(S):
This technique can facilitate ET after RT if the passage is found to be stenosed.
