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Published on: January 22, 2022
Fluoroscopy-guided, transcervical, selective salpingography and fallopian tube recanalisation
1Department of Radiology, National University Hospital, Singapore. ivyanil10@gmail.com
Summary
Fluoroscopy-guided fallopian tube recanalisation (FTR) effectively treats proximal tubal obstruction (PTO) infertility. This safe procedure offers a high success rate and increased pregnancy chances, making it a preferred option.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Gynecological Procedures
Background:
- Proximal tubal obstruction (PTO) is a significant cause of female infertility.
- Transcervical procedures offer a less invasive approach to tubal interventions.
Purpose of the Study:
- To evaluate the efficacy and safety of fluoroscopy-guided transcervical fallopian tube recanalisation (FTR) for infertility due to PTO.
- To determine the technical success and pregnancy rates following FTR in a multi-ethnic Asian population.
Main Methods:
- Retrospective review of 9 years of transcervical fluoroscopy-guided FTR procedures.
- Analysis of 100 infertile patients with documented PTO.
- Hysterosalpingography and selective salpingography to confirm and treat PTO.
Main Results:
- Confirmed PTO in 96 out of 100 patients.
- Technical success rate for FTR was 86.8%.
- Post-FTR pregnancy rate was 36.84% with a mean follow-up of 12.2 months. No major complications reported.
Conclusions:
- Fluoroscopy-guided FTR is a safe and effective treatment for infertility caused by PTO.
- High technical success and pregnancy rates support FTR as a preferred initial treatment.
- FTR offers a cost-effective alternative to more invasive procedures.
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