Infertile Women with Bilateral Obstructed Tubes:
(A presentation of 7 cases):
Osman H. DEVELİOĞLU1, Eser Ş. ÖZYÜREK1, Yurtkuran SADIKOĞLU2,
Ganime SADIKOĞLU3, Ercan TUNCEL2
Bursa-Turkey
OBJECTIVE: Selective salpingography (SS), and tubal cannulation (TC), are possible alternatives to IVF(ICSI)-ET treatment for bilateral proximal tubal occlusion . We present a series of infertile patients who presented with bilateral tubal blockage in their hysterosalpingographies (HSG’s); and were treated with selective salpingography and tubal cannulation.
STUDY DESIGN: Case presentation of 7 infertile patients with bilateral proximal tubal obstruction who were treated with SS and if required TC to provide tubal patency and followed-up for 3 years.
RESULTS: In 6 of the 7 couples, at least one of the fallopian tubes was opened with SS-TC. At the end of 3 years’follow-up of these couples, 4 achieved pregnancy; 2 being spontaneously and 2 with conventional infertility treatment.
2 of these pregnant couples ( both conceived spontaneously) had diminished ovarian reserves, as well.
CONCLUSION: SS-TC is an important, effective and a rather neglected potential alternative to assisted reproductive technologies which demands to be studied in randomized controlled trials.
(Gynecol Obstet Reprod Med 2006; 12:186-188)
Key Words: Selective salpingography, Tubal cannulation, Tubal factor, Infertility, Tubal obstruction
