Proposal for individual treatment by tubal occlusion factor based on the results of salpingoscopic salpingoplasty

Ippei Nakagawa; Mana Hirano; Rintaro Kishimoto; Akinori Kayama; Tsuyoshi Fujino; Yasundo Miyazaki; Akihiko Suenaga; Hiroshi Seto; Takuya Ayabe; Kazunori Nagasaka

doi:10.1111/jog.15993

Proposal for individual treatment by tubal occlusion factor based on the results of salpingoscopic salpingoplasty

Ippei Nakagawa, Mana Hirano, Rintaro Kishimoto, Akinori Kayama, Tsuyoshi Fujino, Yasundo Miyazaki, Akihiko Suenaga, Hiroshi Seto, Takuya Ayabe, Kazunori Nagasaka

Journal of Obstetrics and Gynaecology Research · 2024 · vol. 50(8) , pp. 1398–1401 · doi:10.1111/jog.15993 · PMID:38839109 · W4399356099

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Abstract

AIM: As a treatment for tubal infertility, falloposcopic tuboplasty (FT) is one of the options for patients who wish to conceive naturally. Based on the results of FT, we propose an appropriate time of transitioning to assisted reproductive technology (ART) for tubal infertility. OBJECTS AND METHODS: We examined the outcomes of cases of tubal infertility during the period from June 1999 through March 2021 who were performed tuboplasty at our hospital using the FT catheter system under laparoscopy. RESULTS: The number of treated cases was 828. There were 243 cases of endometriosis and 119 cases of genital chlamydial infection. By FT, 712 cases (86.0%) were successfully recanalized. Of the 712 cases, 189 conceived naturally (26.5%) and miscarriages were 23 cases (12.2%), ectopic pregnancies were 8 cases (4.2%). The mean duration from FT to pregnancy was 6.5 months in natural pregnancy group, 90% of them were pregnant within 14 months. In endometriosis cases, the pregnancy rate after FT did not change significantly among clinical stage. CONCLUSIONS: Even when the fallopian tube was recanalized by FT, if the couple is unable to conceive naturally, they had better to consider switching to ART at about 14 months. When the couples with endometriosis consider switching to ART, we suggest deciding without considering the rASRM stage.

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Outcome instruments

rASRM

Condition tags

endometriosisinfertility

MeSH descriptors

Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Infertility, Female Infertility, Female Infertility, Female Infertility, Female Infertility, Female Adult Adult Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Fallopian Tubes

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Cites (2)

References (10)

Are the Stage and the Incidental Finding of Endometriosis Associated with Fallopian Tube Occlusion? A Retrospective Cohort Study on Laparoscopic Chromopertubation in Infertile Women via openalex
Pathophysiology and management of proximal tubal blockage via openalex
W2164564297 via openalex
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W2996878013 via openalex
W3198976654 via openalex
W4200292902 via openalex
W2106352176 via openalex
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W2164465526 via openalex

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pubmed: last seen: 2026-05-27T00:32:39.163112+00:00

License: CC0 · commercial use OK

[1] Pathophysiology and management of proximal tubal blockage 1999

[2] Are the Stage and the Incidental Finding of Endometriosis Associated with Fallopian Tube Occlusion? A Retrospective Cohort Study on Laparoscopic Chromopertubation in Infertile Women 2022