Falloposcopic tuboplasty as an option for tubal infertility: an alternative to in vitro fertilization

Tanaka, Yasumitsu; Tajima, Hiroto

doi:10.1016/j.fertnstert.2010.07.1065

Cited by 14 publications

(13 citation statements)

References 5 publications

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“…Our overall conception rate was 35%, which falls among pregnancy rates reported in the literature following fluoroscopic-guided FTR varying from 12.8% to 51%. 7 , 12 – 15 These rates are also comparable to the data from endoscopic studies. In Tanaka and colleagues, pregnancy rates were reported at 34.2%.…”

Section: Discussionsupporting

confidence: 73%

“…The clinical data set is comparable to sample sizes in previous studies. 3 – 8 , 10 – 12 Furthermore, reporting of clinical outcomes of FTR across studies appears to be variable in that there are a staggering array of numerators and denominators used in the calculation of pregnancy rates. This may create variability in approaches to data analysis.…”

Section: Discussionmentioning

confidence: 99%

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Conception rates after fluoroscopy-guided fallopian tubal cannulation: an alternative toin vitrofertilization for patients with tubal occlusion

Wang

Rustia

Tasse

et al. 2020

Clin Med�Insights�Reprod�Health

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Objective: Previous studies show good technical success rates for fallopian tube recanalization. Scarce literature exists regarding advance techniques currently used by interventional radiologists during fallopian tube recanalization procedures. This study investigates the level of intervention and tubal patency and its association with technical success and associated pregnancy outcomes. Methods: We retrospectively evaluated fallopian tube recanalization procedures performed at a single center in a 24-year period. A total of 160 couples undergoing a basic infertility evaluation were included. Hysterosalpingography with high pressure contrast injection followed by selective contrast, guidewire catheterization at the tubal ostium, and/or microcatheter/microwire recanalization were performed. Comparisons of the tubal fertilization rate by relevant characteristics were tested for statistical significance with t tests for continuous data or with Pearson chi-square tests for categorical data. Results: Technical success rate was 94% (319 of 341 tubes). High pressure contrast injection alone (184 of 341, 54%), selective catheterization (40%), and microcatheter/microwire (6%) interventions yielded technical success rates of 98%, 90%, and 73%, respectively. The overall rate of conception was 35% (17 of 48). Conclusion: Current techniques of fallopian tube recanalization offer a desirable and safe option with high technical success for patients seeking treatment for infertility due to proximal fallopian tube obstruction.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Conception rates after fluoroscopy-guided fallopian tubal cannulation: an alternative toin vitrofertilization for patients with tubal occlusion

Wang

Rustia

Tasse

et al. 2020

Clin Med�Insights�Reprod�Health

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“…In their study of 153 women with tubal infertility, Tanaka and Tajima [ 11 ] reported a pregnancy rate of 28.9%. Al-Omari et al [ 9 ] reported a pregnancy rate of 41% within the first year following FTR, while Seyam, Hassan et al [ 12 ] found a cumulative pregnancy rate of about 26% following any of two different FTR procedures.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Pregnancy Rate Following Fallopian Tube Recanalization in Women with Proximal Fallopian Tube Obstruction

Al-Omari

Obeidat

El-heis

et al. 2018

JCM

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Fallopian tube obstruction is a major cause of female infertility. We aimed to evaluate the factors potentially affecting pregnancy rate following fallopian tube recanalization (FTR) in infertile women with proximal fallopian tube obstruction. Data was retrospectively collected for 61 women (25, primary infertility; 36, secondary infertility) who underwent FTR at our institution. Bivariable and multivariable analyses of clinical pregnancy rates in relation to the following factors were performed: primary vs. secondary infertility, duration of infertility, age at the time of FTR, unilateral vs. bilateral obstruction, and previous pelvic interventions. All women who underwent fluoroscopically guided transcervical FTR of one or both proximally obstructed tubes were successfully recanalized (technical success rate, 100%). Within a year after FTR, 41% of women had conceived. None of the studied variables was significantly associated with pregnancy rate on bivariable analysis. Nevertheless, on multivariable analysis, the type and duration of infertility were significantly associated with pregnancy among women aged <35 years at the time of FTR. Our findings regarding pregnancy rates following FTR reflect the diversity of the patient population and suggest the presence of multiple contributing factors. Younger women with secondary infertility for <5 years are highly likely to achieve conception following FTR.

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“…In a review of 153 patients with tubal infertility who underwent falloposcopic tuboplasty, 44 patients were found to have conceived (28.9%). Of those who conceived, eight patients had miscarriages and three had ectopic pregnancies . Thus, fallopian tube recanalisation is a good alternative for women with tubal infertility.…”

Section: Discussionmentioning

confidence: 99%

Fallopian tube recanalisation using dedicated radiographic tubal assessment set in angiography suite

et al. 2014

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Falloposcopic tuboplasty as an option for tubal infertility: an alternative to in vitro fertilization

Cited by 14 publications

References 5 publications

Conception rates after fluoroscopy-guided fallopian tubal cannulation: an alternative toin vitrofertilization for patients with tubal occlusion

Conception rates after fluoroscopy-guided fallopian tubal cannulation: an alternative toin vitrofertilization for patients with tubal occlusion

Factors Affecting Pregnancy Rate Following Fallopian Tube Recanalization in Women with Proximal Fallopian Tube Obstruction

Fallopian tube recanalisation using dedicated radiographic tubal assessment set in angiography suite

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