Results of repeated tuboplasties

The cumulative conception rate of 31 infertile women undergoing a second tuboplasty using microsurgery was compared with that 71 women undergoing a single microsurgical tuboplasty. The follow-up period ranged from ranged from 1 to 61/2 years. Five (16%) of the patients in the repeat tuboplasty group conceived; there were 3 (10%) live births, 1 (3%) tubal pregnancy, and 1 (3%) spontaneous abortion. In the single tuboplasty group 42 (59%) of the patients conceived, with the result of 31 (44%) liver births, 6 (9%) tubal pregnancies, and 5 (7%) spontaneous abortions. Reocclusion of both tubes occurred in 16% and 7% of the patients in the two groups, respectively. It is concluded that the poor results of repeated tuboplasties mainly are due to mucosal lesions, which in the majority of cases seem to be irreversible.