Transcervical Balloon Tuboplasty: A Multicenter Study

Edmond Confino, Ilan Tur-Kaspa, Alan DeCherney, Randle Corfman, Carolyn Coulam, Earle Robinson, Gilbert Haas, Eugene Katz, Michael Vermesh, Norbert Gleicher*

*Corresponding author for this work

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

Transcervical balloon tuboplasty represents a noninvasive technique to treat proximal tubal occlusion. In a multicenter study, 77 women with confirmed bilateral proximal tubal occlusion underwent the procedure. In 71 patients (92%), at least one proximally obstructed fallopian tube was recanalized. Concomitant distal bilateral tubal occlusions were diagnosed after successful proximal tubal balloon recanalizations in 13 patients (17%). In the remaining 64 patients, 22 clinical pregnancies (34%) have been confirmed during a median follow-up period of 12 months. Among those, 17 (77%) resulted in normal deliveries and five (23%) resulted in a first-trimester miscarriage. One patient was diagnosed with an ectopic pregnancy. Among 25 patients who had not conceived within 6 months of the procedure, 17 (68%) demonstrated continuing tubal patency on repeated hysterosalpingogram. We conclude that transcervical balloon tuboplasty is a safe outpatient technique that may represent an alternative to in vitro fertilization or microsurgical reanastomosis of fallopian tubes.

Original languageEnglish (US)
Pages (from-to)2079-2082
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Volume264
Issue number16
DOIs
StatePublished - Oct 24 1990

ASJC Scopus subject areas

  • Medicine(all)

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    Confino, E., Tur-Kaspa, I., DeCherney, A., Corfman, R., Coulam, C., Robinson, E., Haas, G., Katz, E., Vermesh, M., & Gleicher, N. (1990). Transcervical Balloon Tuboplasty: A Multicenter Study. JAMA: The Journal of the American Medical Association, 264(16), 2079-2082. https://doi.org/10.1001/jama.1990.03450160049027