Fluroscopic fallopian tube recanalization in a population inappropriate for in vitro fertilization-embryo tranfer.

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Fluoroscopic transcervical fallopian tube recanalization was performed in sixteen patients inappropriate for in vitro fertilization-embryo transfer (IVF-ET) : poor responders, severe oligozoospermia, uterine abnormality. Tubal obstruction in fourteen patients was demonstrated by laparoscopy, in three patients by previous laparotomy and in one patient by hysterosalpingography.<BR>Recanalization was attempted and patency was achieved in ten tubes of twenty ones with interstitial fallopian tubal obstruction (IFTO). Eight tubes with hydrosalpinx could not be opened. Of fourteen patients with IFTO, tubal patency was achieved in at least one fallopian tube in eight patients (57%). One pregnancy occurred during the six month follow-up period. This patient was not suitable for IVF-ET because of a uterine anomaly. No pregnancy occurred in the patients who failed to get pregnant by IVF-ET.<BR>Transcervical tubal recanalization of IFTO is safe, easy and effective method. However, the rate of conception was very low in our series. [Adv Obstet Gynecol 45 (5); 611-614, 1993 (H5. 9)]
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