Evaluation of selective salpingography and fallopian tube recanalization for proximal tubal obstruction

Objective: To evaluate the safety and efficacy of selective salpingography combined with fallopian tube recanalization for the diagnosis and treatment of proximal tubal obstruction. Methods: 103 cases were diagnosed by hysterosalpingography (HSG), selective salpingography was performed with self-made catheter. If proximal tubal obstruction was still present, then followed fallopian tube recanalization. Results: 51 of 135 tubes became patent by only selective salpingography, 64 of the remaining 84 tubes were made patent by fallopian tube recanalization. Effective rate was 85.2%. 30 cases of follow up showed 8 intrauterine pregnancies (IUPs) and 1 ectopic pregnancy after recanalization and 5 IUPs after selective salpingography. Conclusions: Selective salpingography or fallopian tube recanalization should be considered at the time of HSG showing proximal tubal obstruction. They are a safe and effective procedure for the diagnosis and treatment of proximal tubal obstruction