Laparosopy-guide hysteroscopic tubal catheterization treatment for infertile patients due to proximal tube obstruction
Main Article Content
Abstract
Laparoscopy - guided hysteroscopic tubal catheterization is one of the treatments for infertility due to proximal tube obstruction that has many advantages compared to other methods. The purpose of this study is to evaluate the result of laparoscopy - guide hysteroscopic tubal catheterization method in infertile patients due to proximal tube obstruction. The uncontrolled clinical trial studied 66 infertile patients caused by bilateral proximal tubal obstructions. The results showed overall successful recanalization rate of 44%. 33.3% achieved natural pregnancy in the first 9 months after catheterization. Adhesion fallopian and ovaries of different degrees does not affect the rate of successful catheterization of the uterine tube or the rate of pregnancy after catheterization. There is no difference in the pregnancy outlook between patient with one fallopian tube catherization or patient with bilateral fallopian tubes catherization. In conclusion, infertile patients under 40 years old with both proximal tube obstruction should try tubal catheterization first before proceeding to in - vitro fertilization.
Article Details
Keywords
tubal catheterization, proximal tubal obstruction.
References
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