Abstract
Objective To assess the intratubal pressure (ITP) and patency status of the fallopian tubes before and after transcervical catheterization of the fallopian tubes (TCFT).
Design Prospective procedural assessment.
Setting Pope Paul VI Institute for the Study of Human Reproduction.
PATIENT(S): Two hundred thirty-four women with either primary or secondary infertility.
INTERVENTION(S): Patients underwent selective hysterosalpingography and, in some cases, TCFT with measurement of the ITP before and after the procedure.
MAIN OUTCOME MEASURE(S): The ITP before and after TCFT.
RESULT(S): The mean (+/-SD) ITP in freely patent tubes was 0.53 +/- 0.06 atm, that in partially obstructed tubes was 1.23 +/- 0.52 atm, and that in completely obstructed tubes was 2.79 +/- 1.40 atm. After TCFT, the mean (+/-SD) ITP in partially obstructed tubes decreased to 0.64 +/- 0.31 atm and that in completely obstructed tubes decreased to 1.86 +/- 1.35 atm. The ITP was normalized in 76% of partially obstructed tubes and in 29.5% of completely obstructed tubes. In all cases of complete obstruction in which surgical correction was attempted, organic pathology was identified.
CONCLUSION(S): The procedure described is a safe and easy means of obtaining reliable and significant information on the status of the proximal fallopian tube.
Hilgers transcervical catheterization fallopian tubes intratubal pressure, selective hysterosalpingography tubal obstruction assessment, intratubal pressure measurement proximal tubal occlusion, transcervical fallopian tube catheterization patency restoration, NaProTECHNOLOGY tubal factor infertility surgical treatment, proximal tubal obstruction catheterization outcomes, fallopian tube recanalization intratubal pressure normalization, Pope Paul VI Institute tubal catheterization infertility, partially obstructed tubes pressure measurement selective HSG, organic pathology proximal tubal blockage surgical correction
PMID 10428171 10428171 DOI 10.1016/s0015-0282(99)00165-x 10.1016/s0015-0282(99)00165-x
Keywords
Catheterization/instrumentation, Evaluation Studies As Topic, Fallopian Tube Diseases/complications/physiopathology, Fallopian Tubes/physiology, Female, Humans, Hysterosalpingography/instrumentation, Infertility/etiology/physiopathology, Pressure, Prospective Studies