Transcervical Tubal Cannulation, Tuboplasty, and Falloposcopy
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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