The assessment of tubal functional status by tubal perfusion pressure measurements
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Tubal perfusion pressure measurements assess Fallopian tube function, with normal pressures correlating to higher pregnancy rates and elevated pressures indicating possible tubal endometriosis.
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Abstract
The measurement of tubal perfusion pressures (TPP) is a recent advance in the field of gynaecoradiology. Measurement of TPP involves a standardized technique using transcervically placed tubal catheters which is reviewed in detail. TPP assesses the functional status of the Fallopian tubes, i.e. their ability to permit pregnancy. Infertile patients with normal TPP demonstrated a higher pregnancy rate (10 out of 23) than patients with elevated TPP (four out of 24, P < 0.05). Analysis of patients who had undergone a laparoscopy as well as measurement of TPP suggest that elevated TPP are highly indicative of tubal endometriosis. Tubal catheterization with wireguides was successful in reducing mildly elevated TPP. The impact of this procedure on pregnancy rates is not known. The use of the gynaecoradiological techniques discussed in this paper has reduced the need for diagnostic laparoscopy at our centre by >60%. This was achieved without compromise in pregnancy rates and has resulted in a considerable reduction in cost.
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Cites (2)
- Infertility laparoscopy in perspective: Review of five hundred cases 1982
- Elevated tubal perfusion pressures during selective salpingography are highly suggestive of tubal endometriosis 1995
Cited by (4)
- Unexplained infertility: Does it really exist? 2006
- A randomized, prospective, controlled study of laparoscopic dye studies and selective salpingography as diagnostic tests of fallopian tube patency 1999
- Potential Etiologies of Unexplained Infertility in Females 2015
- The couple with unexplained infertility 2008
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Cited by (4)
- Potential Etiologies of Unexplained Infertility in Females 2015
- The couple with unexplained infertility 2008
- Unexplained infertility: Does it really exist? 2006
- A randomized, prospective, controlled study of laparoscopic dye studies and selective salpingography as diagnostic tests of fallopian tube patency 1999
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:10:57.821266+00:00
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