A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction

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Abstract

Objective: To assess whether a second hysterosalpingography (HSG) can permit tubal patency, reducing the use of selective salpingography in patients with proximal tubal obstruction. Design: Prospective study. Setting: University hospital. Patient(s): The study population consisted of 360 infertile women. Intervention(s): In patients with unilateral or bilateral proximal tubal obstruction, a second HSG was performed after about 1 month. In those cases with persistent obstruction, an immediate selective salpingography and tubal catheterization were performed. Main Outcome Measure(s): Tubal opacification. Result(s): Forty patients underwent a second HSG procedure for proximal tubal occlusion. Among these, 24 achieved bilateral tubal patency. Thus, repetition of a conventional HSG after 1 month avoided unnecessary salpingography in 60% of patients. Conclusion(s): In infertile women with proximal tubal obstruction, we believe it is best to perform a second HSG. HSG is easy to carry out and subjects patients to a lower dosage of radiation and fewer risks than selective salpingography. The latter technique should be reserved for unsuccessful cases. (C)2000 by American Society for Reproductive Medicine.

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Dessole, S., Meloni, G. B., Capobianco, G., Manzoni, M. A., Ambrosini, G., & Canalis, G. C. (2000). A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction. Fertility and Sterility, 73(5), 1037–1039. https://doi.org/10.1016/S0015-0282(00)00415-5

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