Abstract
Objective To evaluate publications that introduced novel diagnostic and therapeutic transcervical procedures on the fallopian tubes.
Design Major studies that conceptually changed the therapeutic approach to the fallopian tubes were reviewed. Minor publications were also included if they introduced a new concept or contributed to the topic. Clinical publications were selected if they involved transcervical diagnosis and treatment of fallopian tubes.
Results Transcervical tubal catheterization procedures for diagnosis of tubal disease, tubal obliteration, tubal recanalization, and tubal medication are minimally invasive procedures that can improve our understanding and diagnostic accuracy of tubal disease. These procedures allow transcervical treatment of proximal tubal occlusion. Further improvements in equipment and methodology are promising. Transcervical tubal occlusion, gamete and embryo deposition, and treatment of ectopic pregnancy may all be performed using the transcervical approach.
Conclusion Transcervical tubal catheterization can replace microsurgery and IVF in selected patients with proximal tubal occlusion, improve the diagnostic accuracy of tubal disease, and deliver medications to the fallopian tubes. Cumulative knowledge suggests that transcervical tubal catheterization should become a universally accepted, taught, and practiced approach in the diagnosis and treatment of the fallopian tubes.
transcervical tubal cannulation diagnosis treatment review, fallopian tube catheterization proximal tubal occlusion, transcervical tubal recanalization alternative to IVF microsurgery, Risquez Confino transcervical tubal catheterization review, fallopian tube recanalization minimally invasive transcervical, proximal tubal obstruction catheter treatment historical review, tubal disease diagnosis transcervical catheterization procedures, transcervical approach fallopian tube occlusion obliteration, tubal medication delivery transcervical catheter technique, selective tubal catheterization diagnostic accuracy tubal patency
PMID 8339814 8339814 DOI 10.1016/s0015-0282(16)56087-7 10.1016/s0015-0282(16)56087-7
Keywords
Catheterization/methods, Cervix Uteri, Endoscopy, Fallopian Tube Diseases/diagnosis/therapy, Fallopian Tubes/diagnostic Imaging/pathology, Female, Gynecology/trends, Humans, Hysterosalpingography, Reproductive Techniques, Sterilization, Tubal, Ultrasonics, Ultrasonography, Biology, Cannula, Equipment And Supplies, Examinations And Diagnoses, Fallopian Tubes, Genitalia, Genitalia, Female, Gynecologic Surgery, Literature Review, Organization And Administration, Physiology, Procedures, Surgery, Treatment, Urogenital Surgery, Urogenital System