THE INCIDENCE OF FALLOPIAN-TUBE PATENCY AFTER TRANSCERVICAL RESECTIONOF THE ENDOMETRIUM INCLUDING ROLLERBALL DIATHERMY TO THE TUBAL OSTIA

Objective: To evaluate the incidence of tubal patency as well as the s hape of the endometrial cavity after transcervical resection of the en dometrium. Design: An open observational trial. Setting: The obstetric s and gynecology unit at a district hospital in Norway. Patients: Fift y consecutive patients who had undergone treatment for menorrhagia and metrorrhagia by resection of the endometrium and coagulation of the t ubal ostium were included in the study. Intervention: A hysterosalping ogram was performed with a semistiff catheter and injection of 20 mL c ontrast dye 5 to 12 months after transcervical resection of the endome trium and fibroids. Main Outcome Measures: Tubal patency and uterine c avity morphology. Results: Forty-four patients showed total occlusion of the fallopian tubes, and the uterine cavity showed fibrosis and nar rowing of the cavity. Three patients showed bilateral and three patien ts unilateral tubal patency. Conclusion: Shrinkage and fibrosis of the uterine cavity occur after endometrial resection. A significant numbe r of women after transcervical resection of the endometrium have patie nt tubes (13%) despite coagulation of the tubal ostia.