ABSTRACT
To evaluate the safety and efficacy of hysteroscopic tubal cannulation for treatment of proximal tubal obstruction [PTO]. Department of Obstetric and Gynecology, El Matareya Teaching Hospital. During the period from April 2001 through December 2003 A prospective clinical study a total of 50 women with PTO were subjected to hysteroscopic tubal cannulation under concomittent laparoscopic control The age of patients ranged from 23 to 38 with a mean of 29.79 [ +/- 2.35] years. The mean weight of patients was 81.5 years [ +/- 13.15]. Primary infertility was present in 14 [28 percent] and secondary infertility in 36 [72 percent] of cases. The duration of infertility ranged from 1 year to 13 years. The operative procedure was successful in 41 [82 percent] and unsuccessful in 9 [18 percent] including 6 [12 percent] incomplete procedure and 3 [6 percent] cases of perforation. After 6 months, follow up of 36 women showed 12 pregnancies [33.3 percent]. Among the remaining 24 cases [66.7 percent] HSG confirmed tubal patency in 18 cases [75.0 percent] and reclosure in 6 women [25 percent]. The reproductive outcome in 36 women after one year of follow up showed 21[58.3 percent] pregnancies including 16 [44.4 percent] intrauterine and 5 [13.9 percent] ectopic pregnancies. Failure of pregnancy was present in 41.7 percent of cases. hysteroscopic tubal cannulation is safe procedure that should be resorted to for management of PTO with an expected pregnancy rate of about 50 percent