Abstract
To the Editor.— I commend Confino et al1on their therapeutic use of balloon tuboplasty for obstructed fallopian tubes, and particularly on their emphasis on pregnancy rather than tube patency in assessing the success of the procedure. The authors point out that proximal tubal occlusion is frequently caused by an intraluminal plug rather than an intrinsic disorder of the fallopian tube itself. Tuboplasty seems ideally suited to such cases, whereas microsurgical tubal reanastomosis would convert an apparently normal tube into a scarred oviduct. The article demonstrates that tubal recanalization by balloon tuboplasty is frequently successful. However, it does not answer the more important question of whether balloon dilation is preferable to the simpler and probably safer tuboplasty by means of only a guide wire, or wire and catheter. The latter techniques are currently used by hundreds of physicians. They have a very good track record and are more economical
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