The learning curve of selective salpingography and tubal catheterization

Papaioannou, Spyros; Afnan, M; Girling, Alan; Ola, Bolarinde; Hammadieh, Nahed; Sharif, Khaldoun

doi:10.1016/s0015-0282(02)03061-3

Cited by 12 publications

(8 citation statements)

References 8 publications

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“…Moreover, as our clinical team is becoming more familiar with the technique, the time requirement is lessening. This is in agreement with the report by Papaioannou et al (2002) that as the learning curve for all variations of the procedure is short, significant reduction in the dose of radiation to the patient and the duration of screening start early in the practice of a clinical team and individual operator. Success of the procedure will also reduce the number of patients referred to a tertiary center for IVF.…”

Section: Discussionsupporting

confidence: 93%

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Selective salpingography and fallopian tube recanalisation: Experience from a district general hospital

Rawal¹,

Haddad²,

Abbott

2005

Journal of Obstetrics and Gynaecology

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The Royal College of Obstetricians and Gynaecologists has included selective salpingography and tubal catheterisation (SS-TC) in its evidence-based clinical guideline for the management of infertility in secondary care. In spite of being a cost-effective and minimally invasive treatment option for proximal tubal blockage, SS-TC has been slow to become adopted across the UK. We here describe our initial experience with setting up of tubal recanalisation service in a district general hospital (DGH) in the UK, along with our preliminary results. Tubal patency was achieved in 11 patients out of 14 who underwent SS-TC (78%). Four women achieved spontaneous pregnancy (success rate 28.57%) within 1 year of treatment. The procedure should become a universally accepted, taught and practiced approach in the diagnosis and treatment of the fallopian tube. Especially in infertility units located in a DGH it can be used selectively in the patients with good prognosis and other cases referred to tertiary center for more rapid in-vitro fertilisation (IVF).

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Section: Discussionsupporting

confidence: 93%

“…Almost all of the published reports from the UK are from a single tertiary center (Papaioannou et al 2002). We here describe our initial experience setting up a tubal recanalisation service in a district general hospital in the UK, along with our preliminary results.…”

Section: Introductionmentioning

confidence: 99%

Selective salpingography and fallopian tube recanalisation: Experience from a district general hospital

Rawal¹,

Haddad²,

Abbott

2005

Journal of Obstetrics and Gynaecology

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“…3,4 Those factors that can facilitate successful placement in a maximum number of cases with increased patient satisfaction include patient selection, cycle timing and visibility and experience.…”

Section: Discussionmentioning

confidence: 99%

Learning curve for hysteroscopic sterilisation: Lessons from the first 80 cases

Rosen

2004

Aust NZ J Obst Gynaeco

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The present report looks at the first 80 patients of Essure sterilisation performed by a surgeon with experience in operative hysteroscopy. The results show that the procedure is well tolerated under local anaesthesia with or without sedation, and that devices can be successfully placed in 90% of cases. Surgical time is reduced with increased experience, and successful placement increased by improving visibility within the endometrial cavity (cycle timing).

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“…33 The learning curve of clinical teams introducing a service of selective salpingography and tubal catheterisation is reasonable. 34 Moreover, selective salpingography provides an opportunity for evaluation of the perfusion pressure of the individual oviduct studied.This is reflective of its compliance. Knowledge of this value is a useful addition to the information provided by the tube's opacification pattern, as it can distinguish between patent tubes with normal compliance (and therefore normal perfusion pressure), and patent but 'stiff ' fallopian tubes (with high perfusion pressure).…”

Section: Selective Salpingography and Tubal Catheterisationmentioning

confidence: 99%

Selective salpingography and tubal catheterisation in the diagnosis and treatment of proximal tubal blockage

Papaioannou

Afnan

Sharif

2004

The Obstetric & Gynaecologis

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Proximal tubal blockage arises from several pathological processes and is often a sole cause of infertility. It can be diagnosed and treated by selective salpingography and tubal catheterisation. In this paper, deficiencies of current methods of tubal assessment are discussed, compared with the relative advantages of selective salpingography and tubal catheterisation. The latter are outpatient procedures that have been shown to achieve successful fallopian tube recanalisation and pregnancies in women with infertility, without any other intervention. Another advantage of these techniques is the measurement of tubal perfusion pressure, which has a potential place in management of infertility. Finally, directions of current research into this developing subject are outlined.

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The learning curve of selective salpingography and tubal catheterization

Cited by 12 publications

References 8 publications

Selective salpingography and fallopian tube recanalisation: Experience from a district general hospital

Selective salpingography and fallopian tube recanalisation: Experience from a district general hospital

Learning curve for hysteroscopic sterilisation: Lessons from the first 80 cases

Selective salpingography and tubal catheterisation in the diagnosis and treatment of proximal tubal blockage

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