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1. Anesthesia and Preparation
To reduce discomfort during the treatment, the patient is positioned and given either mild sedation or local anesthesia.
Selective Salpingography & Tubal Recanalization
Selective Salpingography & Tubal Recanalization
procedure steps
2. Cervix-Based Catheter Insertion
To see the cervix, a speculum is placed inside the vagina. Next, a tiny catheter is inserted into the uterus through the cervix.
3. Fallopian Tube Selective Catheterization
One fallopian tube at a time, the catheter is delicately inserted into the ostium under fluoroscopic guidance.
4. Imaging and Contrast Injection
To see the fallopian tube's anatomy, patency, and any obstructions or spasms, contrast dye is put straight into it via the catheter.
5. Blockage Diagnosis
This targeted method distinguishes between mechanical blockage and tubal spasm and pinpoints the precise location of any proximal (uterine end) tubal obstruction.
6. Recanalization of Tubes
A small, flexible guidewire is inserted via the catheter to carefully open and remove any proximal tubal blockage.
7. Continue on the Other Tube
If necessary, the process is repeated for the contralateral fallopian tube.
8. Tubal Patency Verification
To ensure that the fallopian tube is open and that contrast freely enters the peritoneal cavity, more contrast may be injected.
9. Finalization and Recuperation
Carefully remove the instruments and catheter. The majority of patients heal quickly and return home the same day.
disease treated
Fallopian Tube Blockage(Infertility)
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suitable for
Women with Infertility and Suspected Proximal Tubal Blockage
It is mainly recommended for women undergoing evaluation for infertility who have proximal (uterine end) fallopian tube obstruction detected by a hysterosalpingogram (HSG) or suspected based on clinical symptoms.
Patients with Non-Visualization or Partial Opacification of Tubes on HSG
Selective salpingography enables accurate visualization of each tube and helps distinguish between tubal spasm and real mechanical blockage.
It is successful in recanalizing one or both tubes in women with unilateral
It is successful in recanalizing one or both tubes in women with unilateral or bilateral proximal tubal occlusion, increasing tubal patency rates in roughly 70–95% of instances.
Patients Desiring a Non-Surgical, Minimally Invasive Method
The treatment can be carried out under local anesthetic with a quicker recovery, eliminates laparoscopy or laparotomy, and does not require cervical dilatation.
Applicants Before Assisted Reproductive Technologies
Before thinking about IVF or tubal surgery, it may be used as a first-line treatment to restore natural fertility.
Distal Tubal Disease-Free Women
Ideal when there is only proximal obstruction or when distal tubes and peritoneal spill are normal.
benefits
Combined Therapeutic and Diagnostic Process
prevents patients from having to endure numerous surgeries by providing real-time diagnosis of proximal fallopian tube obstructions and prompt therapy through recanalization.
High Tubal Patency Restoration Success Rates
increases the likelihood of natural conception by achieving tubal reopening in about 70–95% of patients with proximal blockage.
Quick & Minimally Invasive
carried out transcervically under fluoroscopic guidance with no discomfort, no incisions, and typically takes 15 to 20 minutes.
Prevents Recovery and Surgical Risks
reduces surgical risks, hospital stays, and recovery times by offering a substitute for laparoscopic or open tubal surgery.
Possibility of Restoring Natural Fertility
Within months of the operation, many women become pregnant naturally, frequently eliminating the need for IVF or other assisted reproductive technologies.
Beneficial for Bilateral or Unilateral Blockage
Pregnancy prospects are improved by recanalization on one or both sides, which permits the restoration of at least one patent tube.
Accuracy of Diagnosis
more accurate than a traditional hysterosalpingogram (HSG) at distinguishing mucus plugs or tubal spasm from actual obstruction.
Better Fertility Prognosis Over Time Research indicates a long-lasting advantage, with notable conception rates even in the first year following the surgery.
post-treatment recovery
Quick Recuperation
After the treatment, most patients recover rapidly and are able to return to their regular activities in a few days to a week.
Procedure for Outpatients
After a short observation time, it is typically done as an outpatient operation with little sedation, allowing patients to return home the same day.
Moderate Pain and Symptoms
For 24 to 48 hours following the surgery, there may be mild pelvic cramps or discomfort, light spotting, or vaginal bleeding.
These side effects can be controlled with over-the-counter painkillers.
Limitations on Activities
Patients are advised to avoid heavy lifting, strenuous exercise, and prolonged sitting or standing for about a week to promote healing and prevent complications.
Resuming Sexual Intercourse
Sexual intercourse can typically be resumed within a few days as per physician guidance once any bleeding or discomfort subsides.
Monitoring and Follow-Up
Follow-up appointments involve assessment of tubal patency and fertility outcomes. If tubes reocclude, repeat recanalization procedures may sometimes be performed.
Fertility Outcomes
