Document Detail


Selective salpingography and fallopian tube catheterisation by guidewire.
MedLine Citation:
PMID:  19835499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of selective salpingography and tubal cannulation in the management of patients with proximal tubal obstruction in the UK is variable in spite of a National Institute of Clinical Excellence (NICE) recommendation. A retrospective review was performed of patients who underwent selective salpingography and fallopian tube catheterisation (SS/TC). A total of 16 patients underwent this procedure. Patency of at least one tube was achieved in 16 of the 20 tubes attempted. Pregnancy was achieved in 35% of patients after the procedure. The ectopic pregnancy rate was 7%. One pregnancy occurred in a patient after the procedure was repeated. The availability of laparoscopy findings was valuable in identifying tubes with established disease and where the procedure might be expected to be unsuccessful or result in a high risk of ectopic pregnancy. Hence, selective salpingography and tubal cannulation procedure should be considered as a therapeutic option for all patients with proximal tubal block before considering IVF or tubal surgery.
Authors:
A Verma; K Krarup; A Donuru
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  29     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-10-19     Completed Date:  2010-01-07     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  315-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Leicester Royal Infirmary, Leicester, UK. vineetalka@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization / instrumentation*,  methods*
Fallopian Tube Diseases / radiography*,  therapy*
Fallopian Tube Patency Tests
Female
Follow-Up Studies
Humans
Hysterosalpingography*
Infertility, Female / radiography,  therapy
Pregnancy
Pregnancy Outcome*
Retrospective Studies

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


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