Diagnosis of cornual obstruction by transcervical fallopian tube cannulation
Interstitial fallopian tube obstruction (IFTO) occurs in 15% of hysterosalpingograms (HSG) performed for infertility. Conventional HSG or laparoscopy may not differentiate cornual spasm or other temporary cause from true obstruction. We used transcervical cannulation of the proximal oviduct with a 3...
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| Veröffentlicht in: | Fertility and sterility 1988-09, Vol.50 (3), p.434-440 |
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| container_title | Fertility and sterility |
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| creator | Novy, Miles J. Thurmond, Amy S. Patton, Philip Uchida, Barry T. Rosch, Josef |
| description | Interstitial fallopian tube obstruction (IFTO) occurs in 15% of hysterosalpingograms (HSG) performed for infertility. Conventional HSG or laparoscopy may not differentiate cornual spasm or other temporary cause from true obstruction. We used transcervical cannulation of the proximal oviduct with a 3-F Teflon catheter and flexible guidewire 0.018 inch (0.043cm) in diameter under hysteroscopic or fluoroscopic guidance to evaluate IFTO in 28 patients. Fluoroscopic catheterization techniques with selective salpingography demonstrated patency in 84% of obstructed tubes. Hysteroscopic cannulation with direct visualization by laparoscopy or laparotomy was successful in 92%. In one patient, perforation of the isthmus occurred without sequelae. Transcervical coaxial cannulation of the proximal oviduct is an effective method for evaluating cornual obstruction. |
| doi_str_mv | 10.1016/S0015-0282(16)60128-0 |
| format | Article |
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Conventional HSG or laparoscopy may not differentiate cornual spasm or other temporary cause from true obstruction. We used transcervical cannulation of the proximal oviduct with a 3-F Teflon catheter and flexible guidewire 0.018 inch (0.043cm) in diameter under hysteroscopic or fluoroscopic guidance to evaluate IFTO in 28 patients. Fluoroscopic catheterization techniques with selective salpingography demonstrated patency in 84% of obstructed tubes. Hysteroscopic cannulation with direct visualization by laparoscopy or laparotomy was successful in 92%. In one patient, perforation of the isthmus occurred without sequelae. 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Conventional HSG or laparoscopy may not differentiate cornual spasm or other temporary cause from true obstruction. We used transcervical cannulation of the proximal oviduct with a 3-F Teflon catheter and flexible guidewire 0.018 inch (0.043cm) in diameter under hysteroscopic or fluoroscopic guidance to evaluate IFTO in 28 patients. Fluoroscopic catheterization techniques with selective salpingography demonstrated patency in 84% of obstructed tubes. Hysteroscopic cannulation with direct visualization by laparoscopy or laparotomy was successful in 92%. In one patient, perforation of the isthmus occurred without sequelae. Transcervical coaxial cannulation of the proximal oviduct is an effective method for evaluating cornual obstruction.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Catheterization - adverse effects</subject><subject>Catheterization - instrumentation</subject><subject>Catheterization - methods</subject><subject>Cervix Uteri</subject><subject>Endoscopy</subject><subject>Fallopian Tube Diseases - diagnosis</subject><subject>Fallopian Tube Diseases - etiology</subject><subject>Fallopian Tube Patency Tests</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Genital system</subject><subject>Humans</subject><subject>Hysterosalpingography - adverse effects</subject><subject>Infertility, Female - diagnostic imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKxDAUhoMoOl4eQehCRBfVk6RJ2pWIdxhwoa5DmqQS6SRj0grz9qbOMFtXh8P_nQsfQqcYrjBgfv0GgFkJpCYXmF9ywKQuYQfNMGO8ZJzRXTTbIgfoMKUvAOBYkH20TysM0NQzNL936tOH5FIRukKH6EfVF6FNQxz14IIv2lUxROWTtvHH6Rx2qu_D0ilfDGNrC628H3s1scdoL4fJnmzqEfp4fHi_ey7nr08vd7fzUlOohrLTxrLaGM0p6wzTIAxhohGkMrSrGoYrZojgmDamNrihjejqyjBrqW0Fp4oeofP13mUM36NNg1y4_F_fK2_DmKSoqSCiggyyNahjSCnaTi6jW6i4khjkZFH-WZSTIpm7P4tymjvdHBjbhTXbqY22nJ9tcpWyki770S5tMS4EVGRac7PGbJbx42yUSTvrtTUuWj1IE9w_j_wCQF2Ong</recordid><startdate>198809</startdate><enddate>198809</enddate><creator>Novy, Miles J.</creator><creator>Thurmond, Amy S.</creator><creator>Patton, Philip</creator><creator>Uchida, Barry T.</creator><creator>Rosch, Josef</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198809</creationdate><title>Diagnosis of cornual obstruction by transcervical fallopian tube cannulation</title><author>Novy, Miles J. ; Thurmond, Amy S. ; Patton, Philip ; Uchida, Barry T. ; Rosch, Josef</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c304t-fcde58ddc635fd5c07d2579724d3f495145d276139d8d19397f84d5ee3eb763a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Catheterization - adverse effects</topic><topic>Catheterization - instrumentation</topic><topic>Catheterization - methods</topic><topic>Cervix Uteri</topic><topic>Endoscopy</topic><topic>Fallopian Tube Diseases - diagnosis</topic><topic>Fallopian Tube Diseases - etiology</topic><topic>Fallopian Tube Patency Tests</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Genital system</topic><topic>Humans</topic><topic>Hysterosalpingography - adverse effects</topic><topic>Infertility, Female - diagnostic imaging</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Novy, Miles J.</creatorcontrib><creatorcontrib>Thurmond, Amy S.</creatorcontrib><creatorcontrib>Patton, Philip</creatorcontrib><creatorcontrib>Uchida, Barry T.</creatorcontrib><creatorcontrib>Rosch, Josef</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Novy, Miles J.</au><au>Thurmond, Amy S.</au><au>Patton, Philip</au><au>Uchida, Barry T.</au><au>Rosch, Josef</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of cornual obstruction by transcervical fallopian tube cannulation</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>1988-09</date><risdate>1988</risdate><volume>50</volume><issue>3</issue><spage>434</spage><epage>440</epage><pages>434-440</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Interstitial fallopian tube obstruction (IFTO) occurs in 15% of hysterosalpingograms (HSG) performed for infertility. Conventional HSG or laparoscopy may not differentiate cornual spasm or other temporary cause from true obstruction. We used transcervical cannulation of the proximal oviduct with a 3-F Teflon catheter and flexible guidewire 0.018 inch (0.043cm) in diameter under hysteroscopic or fluoroscopic guidance to evaluate IFTO in 28 patients. Fluoroscopic catheterization techniques with selective salpingography demonstrated patency in 84% of obstructed tubes. Hysteroscopic cannulation with direct visualization by laparoscopy or laparotomy was successful in 92%. In one patient, perforation of the isthmus occurred without sequelae. Transcervical coaxial cannulation of the proximal oviduct is an effective method for evaluating cornual obstruction.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3410098</pmid><doi>10.1016/S0015-0282(16)60128-0</doi><tpages>7</tpages></addata></record> |
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| ispartof | Fertility and sterility, 1988-09, Vol.50 (3), p.434-440 |
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| subjects | Adult Biological and medical sciences Catheterization - adverse effects Catheterization - instrumentation Catheterization - methods Cervix Uteri Endoscopy Fallopian Tube Diseases - diagnosis Fallopian Tube Diseases - etiology Fallopian Tube Patency Tests Female Fluoroscopy Genital system Humans Hysterosalpingography - adverse effects Infertility, Female - diagnostic imaging Investigative techniques, diagnostic techniques (general aspects) Medical sciences |
| title | Diagnosis of cornual obstruction by transcervical fallopian tube cannulation |
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