Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility.

Autor:	Mody P; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina., Salazar G; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina., Kohi MP; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jazyk:	angličtina
Zdroj:	Seminars in interventional radiology [Semin Intervent Radiol] 2023 Aug 10; Vol. 40 (4), pp. 379-383. Date of Electronic Publication: 2023 Aug 10 (Print Publication: 2023).
DOI:	10.1055/s-0043-1771042
Abstrakt:	Infertility affects approximately 15% of patients worldwide, with up to 40% of cases attributed to tubal disease, and up to 25% of those being proximal fallopian tube obstruction (FTO). Evaluation of tubal patency can be performed via laparoscopic chromopertubation, hysterosalpingography, or hysterosalpingo-contrast-sonography (HyCoSy). In patients with proximal tubal obstruction, fallopian tube recanalization (FTR) can result in up to 100% technical success rate with pregnancy rates of 12.8 to 51%. More pregnancies occur when oil-soluble contrast media are used versus water-soluble contrast media. Complications of FTR are rare and include tubal perforation, ectopic pregnancy, and pelvic infection. Reocclusion of fallopian tubes may occur in 20 to 50% of patients; however, FTR may be repeated in these cases. Overall, FTR is underutilized in the treatment of infertility secondary to proximal FTO and it can obviate costly and time-consuming assistive reproductive techniques such as in vitro fertilization in some patients, as well as decreasing physical and emotional stress. Competing Interests: Conflict of Interest The authors have no financial conflicts of interest to disclose. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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