Long-term fertility prognosis following selective salpingography and tubal catheterization in women with proximal tubal blockage

被引:19
作者
Papaioannou, S
Afnan, M
Girling, AJ
Coomarasamy, A
Ola, B
Olufowobi, O
McHugo, JM
Hammadieh, N
Sharif, K
机构
[1] Birmingham Womens Hosp, Birmingham B15 2TG, W Midlands, England
[2] Educ Resource Ctr, Birmingham B15 2TG, W Midlands, England
[3] Univ Birmingham, Sch Math & Stat, Birmingham B15 2TT, W Midlands, England
关键词
infertility; selective salpingography; survival analysis; tubal catheterization;
D O I
10.1093/humrep/17.9.2325
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BACKGROUND: The possibility of conception following selective salpingography and tubal catheterization is believed to decline sharply a few months after the procedure. This observation may be due to the relatively small number of patients and short follow-up of previous studies. Furthermore, couples with other causes of infertility apart from proximal tubal blockage have usually been excluded. METHODS: Survival analysis of conceptions of 218 consecutive infertile women with proximal tubal blockage who underwent selective salpingography and tubal catheterization was performed. There were no exclusion criteria. Follow-up ranged from 16 to 56 months. RESULTS: A total of 47.2% of spontaneous conceptions and 43.2% of all conceptions, apart from those achieved by IVF or ICSI treatments, occurred after the first 12 months following selective salpingography and tubal catheterization. The decline in the possibility of pregnancy during the study period (conception hazard rate) was only minimal. CONCLUSIONS: In a population of infertile women with proximal tubal blockage, a significant proportion of conceptions occur after the first 12 months following selective salpingography and tubal catheterization. The presence of any additional causes of infertility in the couple should not be regarded as an absolute contraindication to the procedure.
引用
收藏
页码:2325 / 2330
页数:6
相关论文
共 28 条
[1]  
[Anonymous], 1994, Modeling Survival Data in Medical Research
[2]  
CAPITANIO GL, 1991, FERTIL STERIL, V55, P1045
[3]   TRANSCERVICAL SALPINGOPLASTY - CURRENT TECHNIQUES AND RESULTS [J].
DARCY, MD ;
MCCLENNAN, BL ;
PICUS, D ;
HICKS, ME ;
PINEDA, J .
UROLOGIC RADIOLOGY, 1991, 13 (01) :74-79
[4]  
FERRAIOLO A, 1995, FERTIL STERIL, V63, P299
[5]   WIRE GUIDE CANNULATION ALONE IS NO TREATMENT OF PROXIMAL TUBAL OCCLUSION [J].
GLEICHER, N ;
REDDING, L ;
PARRILLI, M ;
KARANDE, V ;
PRATT, D .
HUMAN REPRODUCTION, 1994, 9 (06) :1109-1111
[6]   THE MULTICENTER TRANSCERVICAL BALLOON TUBOPLASTY STUDY - CONCLUSIONS AND COMPARISON TO ALTERNATIVE TECHNOLOGIES [J].
GLEICHER, N ;
CONFINO, E ;
CORFMAN, R ;
COULAM, C ;
DECHERNEY, A ;
HAAS, G ;
KATZ, E ;
ROBINSON, E ;
TURKASPA, I ;
VERMESH, M .
HUMAN REPRODUCTION, 1993, 8 (08) :1264-1271
[7]  
Hammadieh N, 2001, HUM REPROD, V16, P2030, DOI 10.1093/humrep/16.9.2030
[8]   Intratubal pressure before and after transcervical catheterization of the fallopian tubes [J].
Hilgers, TW ;
Yeung, P .
FERTILITY AND STERILITY, 1999, 72 (01) :174-178
[9]   Pathophysiology and management of proximal tubal blockage [J].
Honoré, GM ;
Holden, AEC ;
Schenken, RS .
FERTILITY AND STERILITY, 1999, 71 (05) :785-795
[10]   FALLOPIAN-TUBE RECANALIZATION IN AN UNRESTRICTED PATIENT POPULATION [J].
HOVSEPIAN, DM ;
BONN, J ;
ESCHELMAN, DJ ;
SHAPIRO, MJ ;
SULLIVAN, KL ;
GARDINER, GA .
RADIOLOGY, 1994, 190 (01) :137-140