Transcervical tubal catheterization utilizing flexible hysteroscopy is an effective method of treating cornual obstruction: A review of 120 cases

Abstract

The author reviewed a 3 year experience in the treatment of bilateral cornual obstruction using an Olympus 4.7 mm flexible, operating hysteroscope (Olympus HYF-P) with a modified Katayama transcervical tubal catheter (Cook, Inc.) and concomitant laparoscopy. Of 120 patients undergoing treatment of bilateral cornual obstruction, the following results were obtained: post-operative patencies, 96; pregnancies, 48, of which 2 were ectopic; and reocclusions, 12. Of the reocclusions, 8 were treated with fluoroscopic catheterization of which two achieved normal pregnancies. The sole complication was a single cornual perforation with the tubal catheter. The results are statistically significant and indicate that the endoscopic treatment of bilateral tubal obstruction is effective.