Selection of patients for Tuboplasty

Nonoperative techniques for measuring tubal patency and interpretation of their findings can be misleading. Laparoscopic study of infertile women who have abnormal fallopian tubes should always be a prerequisite of tuboplasty. Observations must be accompanied by intrauterine injection of adequate amounts of dye and gentle tubal manipulations. These efforts will help eliminate attempts to reconstruct nonsalvageable tubes. Successful term pregnancy following tuboplasty is related to the extent of tubal damage as well as the operative technique and postoperative management.