Document Detail


Proximal tubal disease: the place for tubal cannulation.
MedLine Citation:
PMID:  17908398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tubal disease is the cause of subfertility in approximately 30% of women, and 10-25% of these are due to proximal tubal obstruction. False-positive diagnosis of proximal tubal obstruction can be as high as 50%. A decrease in expertise in tubal microsurgery has resulted largely from the use of IVF as the treatment option for most causes of infertility and more specifically for tubal factor infertility. Selective salpingography and tubal cannulation have a unique role in the management of tubal infertility and should be offered to selected candidates prior to IVF. Tubal cannulation can be used effectively to restore patency in a proportion of cases of proximal tubal obstruction thus avoiding the need for expensive assisted reproductive techniques. This review examines the evidence supporting the effectiveness of tubal cannulation and aims to enhance awareness of the procedure as an option for the management of female subfertility secondary to isolated proximal tubal obstruction.
Authors:
Sangeeta Das; Luciano G Nardo; Mourad W Seif
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  15     ISSN:  1472-6483     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-02     Completed Date:  2007-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  383-8     Citation Subset:  IM    
Affiliation:
Academic Unit of Obstetrics and Gynaecology and Reproductive Health, St Mary's Hospital, Manchester, UK.
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MeSH Terms
Descriptor/Qualifier:
Catheterization
Fallopian Tube Diseases / radiography,  surgery*
Female
Humans
Hysterosalpingography
Infertility, Female / radiography,  surgery*

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


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