A Review of Selective Salpingography and Fallopian Tube Catheterization

Thurmond, Amy S.; Machan, Lindsay; Maubon, A.; Rouanet, J. P.; Hovsepian, David M.; Moore, Arl Van; Zagoria, Ronald J.; Dickey, Kevin W.; Bass, James C.

doi:10.1148/radiographics.20.6.g00nv211759

Cited by 70 publications

(38 citation statements)

References 51 publications

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“…On the other hand, failed fertilization and failed implantation were found to be the main causes of failed IVF used for managing these cases and the main causes of unexplained infertility in these cases also. The clinical use, advantages and disadvantage of the previous techniques used for diagnosis of ovum picking were identified by other authors [7,8]. But most of these studies which included the identification of these diagnostic techniques, if not all of them were used essentially for determining the tubal patency.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and management attempts of some causes of unexplained infertility

Thabet¹,

Ali²,

Wousabi³

2014

Gynecol

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Objective: Trying to diagnose clinically some suggested causes of unexplained infertility related to ovum picking, fertilization, embryo growth and implantation and to outline the most suitable management needed for these cases. Design: Prospective controlled diagnostic and management study. Setting: 50 fertile cases as control. Patients: Assessment of ovum picking was determined clinically in 50 cases of unexplained infertility, in addition to certain causes related to fertilization, embryo growth and implantation in another 50 cases having failed IVF used for management of similar cases. Interventions and main outcome measure: Accessibility of the ovulation site to fimbrial end of the tube and in turn ovum picking was clinically determined by the use of combined selective salpingography and ovarian sonography. Other causes were determined by determining the cause of failure of IVF used for managing similar cases of unexplained infertility. Results: Successful clinical diagnosis of ovarian picking could be significantly obtained in 90% of the fertile cases compared to 52% of the infertile cases (P<0.005). Meanwhile, failed ovum picking could be diagnosed in 42% of the infertile cases compared to only 2% of the fertile cases (P<0.005). Other causes were also diagnosed and they included failure of formation of an embryo recorded in 14 (28%) of cases, failure of implantation in 18 (36%) and failure of growth and development of the fertilized ovum or the implanted embryo in 9 (18%) cases. Significant management could be recorded in 69.6% of cases managed as failed ovum picking compared to 29.6% in the rest of cases managed as unexplained infertility (P<0.005). In the same way the other causes were significantly managed and cured by managing the related cause and not empirically as unexplained infertility. Conclusions: Failed ovum picking by the tube, failure of formation of an embryo, failure of implantation and failure of embryo growth could be identified clinically as causes of unexplained infertility. Successful management was encountered more in the cases specifically treated for the identified cause and not generally as cases of unexplained infertility.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and management attempts of some causes of unexplained infertility

Thabet¹,

Ali²,

Wousabi³

2014

Gynecol

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“…As described earlier, a falsely positive finding of occlusion of the fallopian tubes may result from either transient uterine contractions or other technical factors. Selective fluoroscopic salpingography or hysteroscopically directed tubal catheterization improves diagnostic accuracy and can differentiate true from false tubal blockage related to spasm, intraluminal debris, or minimal scarring (24)(25)(26); tubal patency can be achieved in over 80% of cases. When tubal disease is more severe, e.g., salpingitis isthimica nodosa, fluoroscopic or hysteroscopic recanalization is more challenging technically and less often successful (25,26), and IVF generally is the better treatment option.…”

Section: Case #3mentioning

confidence: 99%

The role of tubal reconstructive surgery in the era of assisted reproductive technologies

2008

Fertility and Sterility

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“…A review [8] evaluating results with this technique in 1,466 patients reports a successful recanalization of the proximal fallopian tube in 71-92% of recanalization attempted. Pregnancy rates after the procedure have been variable among series, with an average rate of 30% during follow-up.…”

Section: Proximal Tubal Occlusion (Pto)mentioning

confidence: 99%

Indications to tubal reconstructive surgery in the era of IVF

et al. 2007

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In recent years, the treatment of tubal infertility has witnessed a shift from reconstructive surgery to in vitro fertilization. However, tubal surgery retains specific advantages, and appropriate preoperative evaluation allows improved selection of patients who are candidates for tubal reconstructive surgery by identifying the patients with good reproductive prognosis. Of pivotal importance in the selection of patients is the intratubal direct evaluation performed at salpingoscopy. Term pregnancy rates of approximately 70% and 65% may be obtained in patients with periadnexal adhesions and bilateral distal tubal occlusion, respectively, when a normal tubal mucosa is observed at salpingoscopy.

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A Review of Selective Salpingography and Fallopian Tube Catheterization

Cited by 70 publications

References 51 publications

Diagnosis and management attempts of some causes of unexplained infertility

Diagnosis and management attempts of some causes of unexplained infertility

The role of tubal reconstructive surgery in the era of assisted reproductive technologies

Indications to tubal reconstructive surgery in the era of IVF

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