DOI: 10.36347/sjams.2019.v07i01.024

Pages: 132-135

Background: To identify the cornual block under fluoroscopic guidance in infertility patients and then assess the efficacy of fluoroscopic guided recanalization of fallopian tube in patients with cornual block as cause of infertility. Methods: In this prospective analysis of 30 infertile patients, we analyzed the cause of infertility by using hysterosalpingography and ultrasonography. The male causes of infertility were ruled out by using semen analysis. In patients with cornual block and no other documented cause of infertility, fluoroscopic guided recanalization of fallopian tube was attempted and one year follow up was done to document pregnancy in the patients. The uterine pregnancy is taken to be the successful endpoint of the study. Result: We observed the therapeutic effect of hysterosalphingographic study by documenting a patient with successfully relieved right sided cornual block after hyterosalpingography. We were successful in relieving 12 right sided and 8 left sided unilateral cornual block and the pregnancy was confirmed in 5 patients with right sided and 3 patients with left sided unilateral cornual block. Conclusion: Fluoroscopic guided fallopian tube recanalization is simple outpatient based procedure which could be used to treat proximal fallopian tube block with high success rates and the complication rates are found to be very low as the procedure is non-surgical, minimally invasive and safe. The surgical and other invasive procedures can be used as second line procedure in management of proximal fallopian tube block when the fluoroscopic guided proximal fallopian tube recanalization technique is not suitable due to various technical limitations.