| Hysterosalpingography with selective salpingography. | |
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MedLine Citation:
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PMID: 19370895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Pratibhasri A Vardhana; James E Silberzweig; Michael Guarnaccia; Mark V Sauer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 54 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-04-17 Completed Date: 2009-05-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 126-32 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Chorionic Gonadotropin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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