{"id":1244,"date":"2013-05-04T13:56:06","date_gmt":"2013-05-04T18:56:06","guid":{"rendered":"http:\/\/www.medradclinics.com\/\/?p=1244"},"modified":"2016-04-01T15:33:09","modified_gmt":"2016-04-01T20:33:09","slug":"transcervical-recanalization-of-obstructed-fallopian-tubes-ken-u-ekechukwu-md-mph-facp","status":"publish","type":"post","link":"https:\/\/www.medradclinics.com\/?p=1244","title":{"rendered":"Transcervical recanalization of obstructed fallopian tubes. <i> Ken U. Ekechukwu, MD, MPH, FACP <\/i>"},"content":{"rendered":"<p><span style=\"font-size: 20px;\">One of the causes of infertility in women is obstruction of the fallopian tubes, the two trumpet-like canals that extend from the corners of the uterine fundus towards the ovaries. They conduct eggs released by the ovaries towards the inner chamber of the uterus called the endometrial cavity and may become occluded by disease, typically sexually transmitted disease. More commonly, however, obstruction of the fallopian tube at its cornu (the attachment of the tube to the uterus) is caused by refluxed menstrual debris, not pelvic inflammatory disease.\u00a0 Tubal occlusion from whatever cause impedes the arrival of eggs from the ovaries to the endometrial cavity causing infertility.<\/span><\/p>\n<p><span style=\"font-size: 20px;\">The location and type of tubal obstruction vary: obstructions can occur close to or away from the uterine cavity and may be partial or total. Interventional radiologists can reopen fallopian tubal obstructions through a woman&#8217;s cervix by a procedure called transcervical recanalization of the fallopian tube. The closer fallopian obstruction is to the uterine cavity, the more likely transcervical recanalization will be successful; more distal obstructions are less reparable by this technique.<\/span><\/p>\n<p style=\"padding-left: 60px;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1245\" alt=\"Transcervical_fallopian_tube_recanalization_1\" src=\"\/wp-content\/uploads\/2013\/06\/Transcervical_fallopian_tube_recanalization_1.jpg\" width=\"277\" height=\"209\" srcset=\"https:\/\/www.medradclinics.com\/wp-content\/uploads\/2013\/06\/Transcervical_fallopian_tube_recanalization_1.jpg 331w, https:\/\/www.medradclinics.com\/wp-content\/uploads\/2013\/06\/Transcervical_fallopian_tube_recanalization_1-300x226.jpg 300w\" sizes=\"auto, (max-width: 277px) 100vw, 277px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1246\" alt=\"Transcervical_fallopiantube_recanalization_2\" src=\"\/wp-content\/uploads\/2013\/06\/Transcervical_fallopiantube_recanalization_2.jpg\" width=\"277\" height=\"229\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1247\" alt=\"Transcervical_fallopiantube_recanalization_3\" src=\"\/wp-content\/uploads\/2013\/06\/Transcervical_fallopiantube_recanalization_3.jpg\" width=\"278\" height=\"205\" \/><\/p>\n<p><span style=\"font-size: 16px;\">Images A, B, and C belong to a young woman who was referred to me for hysterosalpingography because of infertility and was shown at the examination to have bilateral cornual occlusion of the fallopian tubes. <strong><span style=\"color: #000000;\">Image A<\/span><\/strong> shows contrast opacifying her endometrial cavity (red arrow), but not the fallopian tubes due to bilateral cornual occlusions. <span style=\"color: #000000;\"><strong>In image B<\/strong><\/span>, I have reopened the right cornual occlusion, filling a large right hydrosalpinx with radiocontrast (red arrow), and have a guide wire in the left fallopian tube (blue arrow), which implies relief of the obstruction. <span style=\"color: #000000;\"><strong>Image C<\/strong><\/span>, the final image, shows that both cornual occlusions are relieved, but there are bilateral large hydrosalpinges because of fimbrial adhesions, proven by the absence of contrast spill into the peritoneal cavity. <\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the causes of infertility in women is obstruction of the fallopian tubes, the two trumpet-like canals that extend from the corners of the uterine fundus towards the ovaries. They conduct eggs released by the ovaries towards the inner chamber of the uterus called the endometrial cavity and may become occluded by disease, typically [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35,83],"tags":[],"class_list":["post-1244","post","type-post","status-publish","format-standard","hentry","category-case-gallery","category-genitourinary-interventions","pmpro-has-access"],"_links":{"self":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts\/1244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1244"}],"version-history":[{"count":20,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts\/1244\/revisions"}],"predecessor-version":[{"id":2724,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=\/wp\/v2\/posts\/1244\/revisions\/2724"}],"wp:attachment":[{"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1244"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medradclinics.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}