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[Selective transcervical tubal recanalization under DSA]
D Kelekis1, I Fezoulidis, T Petsas
1Institut für Radiologie, Universität Patras, Griechenland.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|April 1, 1991
Summary
Selective transcervical tubal recanalization effectively treated 90% of women with blocked fallopian tubes. This minimally invasive procedure resulted in a 50% pregnancy rate, offering a cost-effective alternative to surgery.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Procedures
- Infertility Treatment
Background:
- Tubal occlusion is a significant cause of female infertility.
- Traditional surgical interventions like laparoscopy or laparotomy can be invasive and costly.
Purpose of the Study:
- To evaluate the efficacy and outcomes of selective transcervical tubal recanalization (TTC) using a catheter.
- To assess the pregnancy rates following TTC in patients with tubal occlusions.
Main Methods:
- The study involved 20 patients diagnosed with tubal occlusions.
- Selective transcervical tubal recanalization was performed using a catheter under DSA (Digital Subtraction Angiography).
Main Results:
- Successful recanalization of at least one fallopian tube was achieved in 18 out of 20 patients (90%).
- Of the 18 women with successful recanalization, 9 (50%) achieved pregnancy within an average observation period of 12 months.
Conclusions:
- Selective transcervical tubal recanalization is a rapid, reliable, and cost-effective treatment for sterility caused by tubal obstruction.
- This minimally invasive technique offers a viable alternative to surgery, potentially avoiding the need for laparoscopy or laparotomy in most cases.