Subject(s)
Foreign-Body Migration/diagnostic imaging , Stents , Vena Cava, Superior , Humans , RadiographySubject(s)
Hysteroscopy , Infertility, Female/diagnosis , Female , Humans , Hysterosalpingography , Infertility, Female/etiology , PregnancyABSTRACT
Fluoroscopically guided transcervical fallopian tube catheterization is a valuable technique in the management of infertility, being applicable to occlusion of the proximal fallopian tube. It was first described in the literature in 1987. Our experience is discussed. Modifications to the usual technique are explained. The procedure has had a poor initial acceptance in Australia, but should replace tubal surgery or in vitro fertilization in a group of patients.
Subject(s)
Fallopian Tube Diseases/therapy , Adult , Catheterization , Constriction, Pathologic/diagnostic imaging , Constriction, Pathologic/therapy , Fallopian Tube Diseases/complications , Fallopian Tube Diseases/diagnostic imaging , Female , Fluoroscopy , Humans , Infertility, Female/etiology , Radiography, InterventionalABSTRACT
If a blocked fallopian tube is initially diagnosed and is cleared by simple means, and there is no clinical evidence of other pathology it is reasonable for the patient to go on and attempt to conceive for a time before any further investigation is required. This might be three to six months. A significant amount of cost and morbidity would be eliminated by this pathway, rather than the current push to laparoscopy.
