Document Detail


Hysterosalpingography with selective salpingography.
MedLine Citation:
PMID:  19370895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the use of selective salpingography to achieve tubal patency in patients with proximal fallopian tube occlusion on hysterosalpingography (HSG). STUDY DESIGN: We performed a retrospective cohort study on 116 infertile women (age 37.7 +/- 4.6 years) with proximal tubal obstruction treated with selective salpingography. Success was defined as opening at least 1 fallopian tube. Pregnancy was defined as having a positive beta-hCG level. RESULTS: A total of 151 tubes were blocked on HSG before tubal catheterization; 103 tubes were opened by selective salpingography. Of 116 patients, 84 (72.4%) had successful procedures with at least 1 tube opened by catheterization. Of the 116, 32 (27.6%) had failed procedures with no tubes opened. Of 83 patients, 30 (36.1%) with successful procedures achieved pregnancy. Of these pregnancies, 16 occurred spontaneously or following ovulation induction and 5 pregnancies occurred in the failure group, allfollowing in vitro fertilization. CONCLUSION: Selective salpingography is useful in demonstrating tubal patency, reducing the diagnosis of tubal disease and potentially minimizing surgery in infertile patients.
Authors:
Pratibhasri A Vardhana; James E Silberzweig; Michael Guarnaccia; Mark V Sauer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  54     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-17     Completed Date:  2009-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  126-32     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization*
Chorionic Gonadotropin / blood*
Cohort Studies
Fallopian Tube Diseases / radiography,  therapy*
Fallopian Tube Patency Tests
Female
Humans
Hysterosalpingography / methods*
Infertility, Female / radiography,  therapy*
Pregnancy / blood
Pregnancy Rate*
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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