It is an OPD procedure.
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INTRODUCTION

The obstruction of fallopian tube in its proximal portion has been a diagnostic and therapeutic dilemma since its recognition more than 50 years ago. Development of fluoroscopically guided fallopian tube catheterization over last decade has improved the evaluation of this condition with better visualization of distal fallopian tube. A procedure that relieves proximal tubal obstruction whatever the cause with minimal trauma to the tube would clearly be an advantage. There are commercially available fallopian tube catheterization sets. These are costly and cumbersome to use. Modified technique as used by us is easier to use, less traumatic and decreases procedure and fluoroscopy time.
METHOD
Women with unilateral or bilateral proximal tube obstruction by HSG or laparoscopy are candidates for this procedure .The procedure is performed 3 to 7 days after menstrual period. Fluoroscopic fallopian tube recanalisation is done under Digital fluoroscopy. The premedication is done with Injection Buscopan 20mg intravenously. Patient is placed in lithotomy position. Part cleaned with betadine. The cervix is held with volsellum forceps. A catheter is introduced into the uterus under direct vision over a 0.035” guide wire. Once inside the uterus the tip is guided to the diseased cornu of the uterus. A small amount of contrast is used to confirm the position. A 3F catheter is passed through tubal ostium. Microguide wire 0.018” (Terumo) guide wire is passed into the fallopian tube. On successful recanalisation contrast is injected through the microcatheter. Free peritoneal spill is seen in the peritoneum in successful cases. Cases where after 10 minutes of attempt the tube is not recanalised, the procedure is regarded as failure. Patient is allowed to rest in the department for an hour after which patients were allowed to go home. Oral analgesics were given in case of abdominal pain.
Success is 76.2 % and failure is 23.8%. Pregnancy is seen in 24 %.