SELECTIVE SALPINGOGRAPHY WITH AN INSEMINATION CATHETER IN THE TREATMENT OF WOMEN WITH CORNUAL FALLOPIAN-TUBE OBSTRUCTION

The effectiveness of selective tubal cannulation using a simple and in expensive tubal insemination catheter was evaluated in 23 infertile pa tients with cornual obstruction demonstrated by hysterosalpingography. Selective fluoroscopic tubal catheterization was accomplished in 95% of the patients with resulting tubal patency in 70% of the procedures (28 recanalizations out of 40 Fallopian tubes). Eight patients (34.8%, eight out of 23) became pregnant, six went on to full-term deliveries and two experienced spontaneous first-trimester abortions. One woman conceived twice, and delivered a singleton pregnancy after the first r ecanalization and a twin gestation after the second salpingography. No complications were reported, The results of this study emphasize the ease, cost effectiveness and safety of this method, encouraging its us e in patients with cornual Fallopian tube obstruction either as the so le therapeutic approach or in association with other assisted concepti on treatment alternatives.