Title: Outcomes after successful fallopian tube recanalization- A large
single institution experience : Observational retrospective study.
Purpose: To determine outcomes after successful fallopian tube
recanalization (FTR) in women who suffer infertility with documented
tubal occlusion on hysterosalpingogram.(HSG) Methods: A retrospective
review of consecutive successful FTR procedures from January 2010 to
December 2016 was performed. 53 women who had HSG confirmed tubal
occlusion from a single academic medical center and successful FTR were
eligible for inclusion. 35 (66.0%) patients had follow up at 12 months
after FTR, with 13 conceiving within a year of the procedure.
Complication, conception, and take-home-baby (THB) rates were recorded.
The average age of patients was 32.3 years (range 26-42 years). All
patients received peri- and post-procedure antibiotics. Results: Average
follow-up after FTR was 1335 days. All patients tolerated the procedure
well with no immediate complications. 13 (37.1%) became pregnant after
FTR. Of these women, 2 had ectopic pregnancies and 2 patients had
spontaneous abortions. The THB rate after FTR for all patients was
25.7%. The THB rate in women who became pregnant after FTR was 69.2%.
Of those women who did not become pregnant after FTR, 19 (84.6%) went
to assisted reproductive techniques, and of those, 8 (42.1%) became
pregnant. Conclusion: Infertility affects 8.4% of U.S. women, with
tubal disease a major causative factor. In our study, successful FTR led
to pregnancy in over a third of the patients with the majority giving
birth to healthy babies. Given the success of obtaining pregnancy in
combination with a low complication rate, FTR is a viable option in
women who suffer from tubal infertility