COLOR DOPPLER ULTRASOUND GUIDANCE FOR TRANSCERVICAL WIRE TUBOPLASTY

To evaluate the usefulness of high-resolution ultrasound with colour D oppler mapping system in performing transcervical wire tuboplasty, 13 infertile women with bilateral proximal tubal obstruction demonstrated by X-ray or colour Doppler ultrasound hysterosalpingography and chrom operturbation at laparoscopy were treated by transcervical wire tubopl asty utilizing colour Doppler mapping ultrasound guidance. A co-axial catheter was used to introduce a 0.016-in. flexible wire to the occlud ed portion. Transcervical wire catheterization was accomplished in 25 of 26 tubes (96%), resulting in patency in 24 of 25 tubes (96%). At th e end of the procedure all patients had at least one tube patent (100% ). Five (38%) women achieved pregnancies within 1 year after the proce dure. High-resolution ultrasound with colour Doppler mapping system is an efficacious way to perform transcervical wire tuboplasty, avoiding the risk of radiation and allergic reaction.