Transcervical Tubal Cannulation, Tuboplasty, and Falloposcopy

In: Practical Manual of Operative Laparoscopy and Hysteroscopy · 1992 · pp. 191–197 · doi:10.1007/978-1-4684-0430-2_20 · W4237585312
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Tubal disease, particularly occlusions at the uterotubal junction, is a significant cause of female infertility requiring surgical intervention.

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This chapter describes transcervical techniques for evaluating and treating fallopian tube disease, with emphasis on uterotubal junction occlusions, including tubal cannulation, tuboplasty (balloon techniques), and falloposcopy (microendoscopic visualization). It frames the approach in relation to infertility caused by tubal occlusion and reviews prior evidence such as comparative diagnostic trials and multicenter balloon tuboplasty studies, while outlining procedural concepts like selective salpingography and recanalization. A key caveat is that the chapter’s claims are largely based on heterogeneous prior studies and include limitations inherent to diagnostic distinctions such as apparent cornual occlusion versus true obstruction. Relevance to endometriosis: while the chapter mainly focuses on transcervical tubal procedures for tubal occlusion, it explicitly cites hormonal therapy for “tubal endometriosis,” linking uterotubal pathology to endometriosis in its background literature.

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Abstract

Tubal disease is the cause of 25% to 30% of female infertility, of which approximately 20% is due to occlusions located at the uterotubal junction.1,2 Moreover, until recently one fifth of laparotomies performed for tubal occlusion were done in connection with this last entity. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Musich JR, Behrman SJ. Surgical management of tubal obstruetion of the uterotubal junction. Fertil Steril. 1983;40:423–441. Holst N, Abyholm T, Borgerson A. Hysterosalpingography in the evaluation of infertility. Acta Radiol. 1983;24:253–257. Grant A. Infertility surgery of the oviduet. Fertil Steril. 1971;22:496–503. Fortier KJ, Haney AF. The pathologic spectrum of utero tubal junction obstruetion. Obstet Gynecol. 1985;65:93–98. Hellman LM. Tubal plastic Operations. J Obstet Gynaecol Br Commonw. 1956;68:852–860. Ayers JW. Hormonal therapy for tubal occlusion: danazol and tubal endometriosis. Fertil Steril. 1982;38:748–750. Sulak PJ, Letterie GS, Coddington CC, et al. Histology of proximal tubal occlusion. Fertil Steril. 1987;48:437–440. World Health Organization. Comparative trial of tubal insufflation, hysterosalpingogram and laparoscopy with dye hydrotubation for assessment of tubal patency. Fertil Steril. 1986;46:1101–1102. Musich JR, Behrman SJ. Infertility laparoscopy in perspective: review of500 cases. J Obstet Gynecol. 1982;143:293–303. Hutchins CJ. Laparoscopy and hysterosalpingography in the assessment of tubal patency. Obstet Gynecol. 1977;49:327–328. Okonofua FE, Essen UI, Nimalaraj T. Hysterosalpingography versus laparoscopy and tubal infertility: comparison based on findings at laparotomy. Int J Gynecol Obstet. 1989;28:143–147. Thurmond AS, Novy, Rosch J. Terbutaline in diagnosis of interstitial fallopian tubal obstruetion. Invest Radiol. 1988;23:209–210. Winfield AC, Pittaway D, Maxson W, Daniel G, et al. Apparent cornual occlusion by hysterosalpingography: reversal by glucagon. AJR. 1982;139:525–527. Page EP. Use of isoxuprine in uterosalpingography and uterotubal insufflation. Am J Obstet Gynecol. 1968;101:358–364. Cooper JM, Rigberg HS, Houck R, et al. Incidence, significance and remission of tubal spasm during attempted hysteroscopic tubal sterilization. J Reprod Med. 1985;30:9–13. Corfman PA, Taylor HC. An instrument for transcervical treatment of the oviduets and uterine cornua. Obstet Gynecol. 1966;27:880–884. Siegler AM, Haulka J, Peretz A. Reversibility of female sterilization. Fertil Steril. 1985;43:499–510. Platia MP, Krudy AG. Transvaginal laparoscopic recanalization of approximately occluded oviduet. Fertil Steril. 1985;44:704–706. Thurmond AS, Novy M, Uchida BT, et al. Fallopian tube obstruetion: selective salpingography and recanalization. Radiology. 1987;163:511–514. Confino E, Friberg I, Gleicher N. Transcervical balloon tuboplasty. Fertil Steril. 1986;46:963–966. Thurmond AS, Rosch J. Nonsurgical tube recanalization for treatment of infertility. Radiology. 1990;174:371–374. Thurmond AS, Uchida BT, Rosch J. Device for hysterosalpingography for fallopian tube catheterization. Radiology. 1990;174:571–572. Confino E, Tur-Kaspa I, DeCherney A, et al. Transcervical balloon tuboplasty. A multicenter study. JAMA. 1990;264:2079–2082. Novy ML, Thurmond AS, Patton P, et al. Diagnosis of cornual obstruetion by transcervical fallopian tube cannulation. Fertil Steril. 1988;50:434–440. Kerin J, Daykhovsky L, Segalowitz J, et al. Falloscopy: a microendoscopic technique for Visual exploration of the human fallopian tube from the uterotubal ostium to the fimbria using a transvaginal approach. Fertil Steril. 1990;54:390–400. Editor information Editors and Affiliations Rights and permissions Copyright information © 1992 Springer-Verlag New York, Inc. About this chapter Cite this chapter Katz, E. (1992). Transcervical Tubal Cannulation, Tuboplasty, and Falloposcopy. In: Azziz, R., Murphy, A.A. (eds) Practical Manual of Operative Laparoscopy and Hysteroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0430-2_20 Download citation DOI: https://doi.org/10.1007/978-1-4684-0430-2_20 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4684-0432-6 Online ISBN: 978-1-4684-0430-2 eBook Packages: Springer Book Archive

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