caa a22 4500 445309792 CHVBK 20180317142625.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00404-011-2007-6 doi (NATIONALLICENCE)springer-10.1007/s00404-011-2007-6 Hysteroscopic tubal catheterization under laparoscopy for proximal tubal obstruction [Elektronische Daten] [Keiko Mekaru, Chiaki Yagi, Kozue Asato, Hitoshi Masamoto, Kaoru Sakumoto, Yoichi Aoki] Purpose: The purpose of this study was to investigate the fertility outcomes of infertile patients having proximal tubal obstruction treated with hysteroscopic tubal catheterization (HCT) for recanalization under diagnostic laparoscopy. Methods: From January 2000 to December 2008, diagnostic laparoscopy was used to assess the tubal status of 61 patients with unilateral or bilateral proximal tubal obstruction, as confirmed by hysterosalpingography. Among them, 35 patients with tubal obstruction confirmed by chromopertubation under laparoscopy subsequently underwent HCT. The pregnancy outcomes and success rates of recanalization were investigated. Results: In the 35 patients with confirmed tubal obstruction, HCT was performed in 54 fallopian tubes. The success rate of recanalization was 25.9% (14/54) per tube and 37.1% (13/35) per patient. Of the patients in whom tubal patency was restored, 4 achieved pregnancy, including 1 tubal pregnancy and 1 miscarriage. Among the 61 patients, excluding 14 who underwent in vitro fertilization-embryo transfer (IVF-ET) after laparoscopy, 13 were pregnant (27.7%), 9 gave live births, 1 had tubal pregnancy, and 3 had miscarriages. Conclusions: HCT under laparoscopy is an option for couples with tubal infertility who do not prefer IVF-ET. Springer-Verlag, 2011 Fallopian tube diseases nationallicence Hysteroscopic tubal catheterization nationallicence Tubal infertility nationallicence Laparoscopic chromopertubation nationallicence Mekaru Keiko Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Yagi Chiaki Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Asato Kozue Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Masamoto Hitoshi Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Sakumoto Kaoru Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Aoki Yoichi Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1573-1576 0932-0067 284:6<1573 2011 284 404 https://doi.org/10.1007/s00404-011-2007-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-2007-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mekaru Keiko Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Yagi Chiaki Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Asato Kozue Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Masamoto Hitoshi Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Sakumoto Kaoru Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Aoki Yoichi Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1573-1576 0932-0067 284:6<1573 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer