Treatment of infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy
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T Sakumoto1, T Shinkawa, H Izena
1Department of Obstetrics and Gynecology, School of Medicine, University of the Ryukyus, Okinawa, Japan.
Objective:
To evaluate the efficacy of treatment for infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy.
Study Design:
Eighty-eight infertile women who underwent selective tubal catheterization with insufflation of oil-soluble radiopaque dye were reviewed. The efficacy of treatment was analyzed with regard to conception rate.
Results:
The conception rate after selective tubal catheterization was higher in women with endometriosis (60%) than in women without endometriosis (36.5%) (p < 0.05). Most women conceived within the first 4 months after treatment. No statistical difference in conception rate was observed among patients with stage I, II, or III disease.
Conclusions:
Selective tubal catheterization with insufflation of oil-soluble radiopaque dye was an effective treatment for infertility associated with endometriosis.