HYSTEROSCOPIC TUBAL CANNULATION FOR WOMEN WITH PROXIMAL FALLOPIAN TUBE OBSTRUCTION: A CROSS-SECTIONAL STUDY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, University of Alexandria

2 Alexandria university obstetric&gynecology

3 Department of Obstetrics and Gynecology, Alexandria Faculty of Medicine, Alexandria University

Abstract

INTRODUCTION:
Proximal fallopian tubal blockage is a particularly common etiology of tubal factor infertility. Despite this, there are very limited options for its management. Therefore, rather than just turning to assisted reproductive methods like in-vitro fertilization, numerous attempts have been undertaken to cross beyond this barrier.
Modern technology makes it feasible to perform hysteroscopic tubal cannulation during a routine diagnostic endoscopy, which may already be necessary for the patient's infertility workup. In contrast to more widely recognized, costly alternatives, hysteroscopic tubal cannulation might offer patients with proximal tubal obstruction a simple, cost-effective, and safe treatment option.

AIM:
The aim of this study was to assess the feasibility, safety, and effectiveness of hysteroscopic tubal cannulation in cases with documented proximal tubal obstruction and desiring natural fertility.
PATIENT AND METHODS:
This cross-sectional study was conducted for 50 eligible women with infertility due to proximal fallopian tube obstruction, diagnosed by means of hysterosalpingography and/or laparoscopic chromopertubation at El Shatby Maternity University Hospital after approval by the local Ethical Committee of Alexandria Faculty of Medicine and having informed written consent for every female included in the study.
In the current study, tubal cannulation was performed by combining a diagnostic laparoscope with hysteroscopic guidance of a cannula, namely, a size 3 French double J ureteric catheter, into the ostium of the affected tube and performing a novel dye test or selective chromopertubation.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 27-28

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