Successful conception following Fallopian tube recanalization in infertile patients with a unilateral proximally occluded tube and a contralateral patent tube

Hayashi, Masatoshi; Hoshimoto, Kazunori; Ohkura, Takeyoshi

doi:10.1093/humrep/deg006

Cited by 12 publications

(7 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On stratification according to the number of recanalized tubes, we found that successful recanalization led to a higher pregnancy rate in women with bilateral obstruction than in those with unilateral obstruction (46.2% vs. 31.8%), suggesting that women with unilateral obstruction may have other factors contributing to their infertility. Indeed, Hayashi, Hoshimoto, and Ohkura [ 20 ] showed that unilateral obstruction may affect the physiology of the contralateral patent tube. Thus, we strongly recommend FTR in women with unilateral obstruction, as it increases the chance of pregnancy, but other possible causes for infertility should be thoroughly investigated.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Applications of FTR were highlighted in studies conducted by Allahbadia GN et al and Thurmond AS et al 14,15 Hayashi M et al found that there is a definite increase in conception rate in Infertile patients with a unilateral proximally occluded tube and a contralateral patent tube following FTR. 16 Proximal Tubal obstruction secondary to extensive luminal fibrosis, congenital segmental atresia, tuberculosis, leiomyomas, tuberculosis sequelae, failed surgical tubal anastomosis usually have poor outcome after FTR. One of the important aspect while doing FTR is age of the patient.…”

Section: Discussionmentioning

confidence: 99%

Fallopian Tube Recanalization (F.T.R): application of Interventional Radiology (I.R) post hysterosalpingography in management of female infertility at rural hospital

Mohan

Sharma

Banode

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Infertility is defined as inability to conceive even after 1 year of unprotected intercourse. Tubal blockage is one of the common causes of primary as well as secondary infertility in females. Fallopian tube recanalization (FTR) an interventional radiological procedure is one of the most promising, effective, minimally invasive and cost-effective technique in patients having infertility owing to tubal blockage. The aim is to study the cause, hysterosalpingography findings, and outcome of fallopian tube recanalization by interventional radiological procedure in patients with tubal-blockage presenting with infertility.Methods: This was a prospective observational study of women with primary or secondary infertility presenting to interventional radiology department. The patients either had already undergone hysterosalpingography (HSG) or came for HSG. Fallopian tube recanalization was done as per institutional protocol. Hysterosalpingography abnormalities, outcome and complications of fallopian tube recanalization procedure were studied.Results: In this study of 87 patients unilateral or bilateral tubal blockages were seen in 16 and 24 patients respectively. Majority of the patients had Segment I proximal block. Bilateral recanalization could be successfully done in 12 patients (24 tubes) with bilateral Proximal Tubal Blockage (PTO). Unilateral recanalization was possible in 12 patients (tubes) with unilateral proximal block and 8 tubes with bilateral proximal tubal block. 10 tubes with PTO could not be recanalized. 5 cases diagnosed with bilateral Distal Tubal Block (DTO), recanalization was not attempted and were referred for appropriate gynecological management. Minor complications were noted in 8 patients while no major procedure related complications were observed.Conclusions: Fallopian tube recanalization (by interventional radiology procedure) in patients with fallopian tube blockage diagnosed on HSG is found to be cost effective, minimally invasive and have low complication rate. It is associated with excellent outcome in terms of technical success and improved conception rate.

show abstract

“…Bei Rekanalisation einseitiger Tubenverschlüsse berichten Hahashi et al sogar von einer 100 %igen Erfolgsrate und einer Schwangerschaftsrate von 55 % [14].…”

Section: Materials Und Methodeunclassified

Durchleuchtungsgesteuerte Eileiter-Rekanalisation mit vereinfachtem Instrumentarium

Schmitz‐Rode

Neulen²,

Günther³

2004

Fortschr Röntgenstr

View full text Add to dashboard Cite

show abstract

Successful conception following Fallopian tube recanalization in infertile patients with a unilateral proximally occluded tube and a contralateral patent tube

Cited by 12 publications

References 6 publications

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

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

Fallopian Tube Recanalization (F.T.R): application of Interventional Radiology (I.R) post hysterosalpingography in management of female infertility at rural hospital

Durchleuchtungsgesteuerte Eileiter-Rekanalisation mit vereinfachtem Instrumentarium

Contact Info

Product

Resources

About