Document Detail


Midtubal occlusion: etiology, management, and outcome.
MedLine Citation:
PMID:  1555684     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the significance of pathological midtubal occlusion in infertility. DESIGN: Retrospective descriptive case review. SETTING: Tertiary referral center. PATIENTS: Sixteen women, 26 to 38 years of age presenting with infertility and diagnosed as having midtubal occlusion. INTERVENTIONS: Assessment of the etiology of the occlusive disease and yield of microsurgical tubotubal anastomosis. MAIN OUTCOME MEASURES: Histologic examination of occluded tubal segment and fertility outcome subsequent to anastomosis. RESULTS: Occlusion was because of tuberculous salpingitis (n = 6), resolved tubal pregnancy (n = 3), endometriosis (n = 2), chronic inflammatory reaction (n = 1), tubal cyst (n = 1), intratubal adhesions (n = 1), infant hernia repair (n = 1), and calcification (n = 1). Of eight women (including the patient with tuberculous salpingitis) who underwent tubal anastomosis only for midtubal occlusion, three had subsequent term deliveries, two had tubal pregnancies, and three women did not conceive. CONCLUSION: Midtubal occlusion of the tube because of an infectious process is rare. Excluding tuberculous salpingitis, microsurgical anastomosis yields satisfactory fertility, albeit with significant risk of ectopic pregnancy.
Authors:
B Urman; V Gomel; P McComb; N Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  57     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-05-01     Completed Date:  1992-05-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  747-50     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of British Columbia, Faculty of Medicine, Vancouver, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Fallopian Tube Diseases / complications,  diagnosis*,  surgery
Fallopian Tubes / pathology,  surgery
Female
Humans
Hysterosalpingography
Infertility, Female / etiology
Microsurgery
Retrospective Studies
Salpingitis / diagnosis

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


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