Tubal obstruction after ligation reversal surgery: Results of catheter recanalization

Amy S. Thurmond, Kathleen R. Brandt, Marsha J. Gorrill

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

PURPOSE: To evaluate the role of transcervical fallopian tube catheterization in restoring tubal patency after ligation reversal surgery. MATERIALS AND METHODS: Twenty-four women with tubal obstruction after ligation reversal surgery underwent selective salpingography and tubal recanalization. RESULTS: Patency was established in 26 (68%) of 38 anastomotic tubes without complication. In the 13 patients who were followed up and who could conceive only via a recanalized anastomotic tube, there were six (46%) pregnancies: two (15%) successful uterine pregnancies, two (15%) early spontaneous abortions, and two (15%) tubal pregnancies. The mean time from procedure to conception was 2 months. CONCLUSION: Patency of fallopian tubes not visualized at hysterosalpingography after ligation reversal surgery can be established 68% of the time with selective salpingography. In some patients, selective salpingography can be therapeutic. If subsequent conception occurs in these patients, it occurs shortly after the catheterization procedure.

Original languageEnglish (US)
Pages (from-to)747-750
Number of pages4
JournalRadiology
Volume210
Issue number3
DOIs
StatePublished - Mar 1999

Keywords

  • Fallopian tubes, interventional procedure
  • Fallopian tubes, stenosis or obstruction
  • Sterility
  • Uterus, radiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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