Fallopian tube catheterization and recanalization under ultrasonic observation: a simplified technique to evaluate tubal patency and open proximally obstructed tubes

Lisse, K; Sydow, Peter

doi:10.1016/s0015-0282(16)54471-9

Cited by 26 publications

(11 citation statements)

References 9 publications

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“…15 HSG allows documentation of tubal patency, enables detection of several tubal lesions and permits assessments of fine intratubal architectural details, especially when an aqueous contrast medium is used. [17][18][19] In the above study, the HSG findings showed that the incidence of tubal block in primary infertility was found 50% and in secondary infertility was 60%. These results were in agreement with the previous studies.…”

Section: Daniel S Et Al Int J Reprod Contracept Obstet Gynecol 2016mentioning

confidence: 81%

A study of sonosalpingogram compared to laparoscopic chromopertubation in the evaluation of tubal patency

Daniel

Bens

Ramachandran

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Daniel S Et Al Int J Reprod Contracept Obstet Gynecol 2016mentioning

confidence: 81%

A study of sonosalpingogram compared to laparoscopic chromopertubation in the evaluation of tubal patency

Daniel

Bens

Ramachandran

2016

Int J Reprod Contracept Obstet Gynecol

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“…For STC, a transvaginal tubal catheterization set according to Lisse and Sydow (1991) (Labotact Company, GOttingen, Germany) was usedAfter placing a self-retaining speculum in the vagina, the uterus was fixed by a special retrnaculum which was connected with the speculum. A flexible catheter guide cannula with a ball-shaped tip was pushed into the uterus without cervical dilatation and gently advanced to the uterine horns.…”

Section: Treatmentmentioning

confidence: 99%

“…In most cases, lap and dye is carried out on an in-patient basis, thus involving considerable costs in terms of medical resources Due to the disadvantages of the two methods described above, there was a great interest to develop simple ultrasound-controlled methods for assessing tubal patency. In our unit we developed selective tubal catheterization (STC) with sonographic control (Lisse and Sydow, 1991) and used it as a basic tubal investigation procedure for infertility patients for several years. The investigation was rapidly done without causing any major discomfort to the patient.…”

Section: Introductionmentioning

confidence: 99%

“…STC may overcome tubal spasm and may even recanalize tubes which are proximally occluded by debris (Novy et al, 1988;Segars et al, 1990;Thurmond and Rosch, 1990;Lisse and Sydow, 1991). Theoretically, the combination of hysterosalpingo-contrast sonography with STC should be able to provide more information, especially in cases where proximal tubal M.BIoechle el at exclusion is diagnosed by hysterosalpingo-contrast sonography.…”

Section: Introductionmentioning

confidence: 99%

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Surgery: Comparison between hysterosalpingo-contrast sonography and sonographically controlled selective tubal catheterization

et al. 1996

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Hysterosalpingo-contrast sonography was compared with sonographically controlled selective tubal catheterization (STC) in 26 infertile women who complained of infertility. Both procedures were carried out on a single examination date. A group of 10 patients first underwent hysterosalpingo-contrast sonography followed by STC, while 16 first had STC followed by hysterosalpingo-contrast sonography. The main outcome measure was tubal patency. A total of 52 Fallopian tubes was assessed. Hysterosalpingo-contrast sonography showed 39 tubes (75%) and STC 46 (89%) to be patent, 13 tubes (25%) and six tubes (12%) were diagnosed to be proximally occluded, by means of hysterosalpingo-contrast sonography and STC respectively. Concordant diagnosis with both methods was made in 43 of 52 tubes (83%). When hysterosalpingo-contrast sonography was followed by STC, the concordance rate was 85%. When STC was followed by hysterosalpingo-contrast sonography, the concordance rate was 81%. In one patient the diagnosis of proximal occlusion of one tube as determined by hysterosalpingo-contrast sonography and STC had to be correlated in laparoscopy. In a patient, who after hysterosalpingo-contrast sonography and STC, was suspected to have bilateral proximal occlusion of the tubes, considerable bilateral proximal stenosis and distal occlusion was documented at laparoscopy. In conclusion, sonographically controlled STC may correct a misdiagnosis in cases where hysterosalpingo-contrast sonography leads to the finding of proximal tubal obstruction. The combination of hysterosalpingo-contrast sonography and STC as an out-patient investigation method for tubal patency assessment in infertile women avoids anaesthesia and radiation. For this reason we recommend the combination of sonographically controlled STC with hysterosalpingo-contrast sonography, at least in cases where proximal tubal occlusion is suspected after hysterosalpingo-contrast sonography. The influence of the order in which the two methods are used on the results of both should be investigated in a randomized study.

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“…The incidence of proximal tubal obstruction is 10-25% among cases of tubal abnormalities, and is estimated to account for infertility in 5-10% of women [2,3], suggesting a relatively high prevalence. Transcervical fallopian tube recanalization (T-FTR) using fluoroscopic guidance [4,5], the hysteroscopic method [6,7] and the ultrasonic method [8] has been applied to restore tubal patency in patients with proximal tubal obstruction. In vitro fertilization and embryo transfer (IVF-ET) or microsurgery of the fallopian tube have frequently been performed on patients with bilateral tubal obstruction.…”

Section: Introductionmentioning

confidence: 99%

Transcervical Fallopian Tube Recanalization under Fluoroscopic Guidance

Hayashi

Iwasaki²,

Kuramae³

et al. 1998

Gynecol Obstet Invest

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This study was designed in order to assess whether the Iwasaki-Hayashi (IH) catheter can be fixed to the uterine cervix easily and successfully during transcervical fallopian tube recanalization (T-FTR) with fluoroscopic guidance, to try T-FTR in special cases, and to investigate the success rate. The study included 21 infertile women with tubal obstruction, diagnosed by hysterosalpingography examined at least twice to exclude tubal spasm. Using the IH catheter, which proved to be very useful, higher therapeutic efficacy could be obtained. A patient with unilateral proximal tubal obstruction became pregnant following natural fertilization in the fallopian tube which had been recanalized by T-FTR. The success rate of recanalization, the pregnancy rate and the take-home-baby rate were 95.2%/patient, 19.0 and 19.0%, respectively.

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Fallopian tube catheterization and recanalization under ultrasonic observation: a simplified technique to evaluate tubal patency and open proximally obstructed tubes

Cited by 26 publications

References 9 publications

A study of sonosalpingogram compared to laparoscopic chromopertubation in the evaluation of tubal patency

A study of sonosalpingogram compared to laparoscopic chromopertubation in the evaluation of tubal patency

Surgery: Comparison between hysterosalpingo-contrast sonography and sonographically controlled selective tubal catheterization

Transcervical Fallopian Tube Recanalization under Fluoroscopic Guidance

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