Fallopian tubes are two in number attached to the uterus on either side. The function of the fallopian tube is to transport the egg which is released from the ovary to the uterus. Once the sperm meets the egg in the fallopian tube, it transports the fertilized egg to the uterus.
When there is a block in the proximal part of the fallopian tube near the uterine cavity. The transportation of the sperm cannot happen ready for infertility. This blockage can be removed by a procedure called fallopian tube cannulation (FTC).
FTC requires both hysteroscopy and laparoscopy.
Laparoscopy is performed by making a small incision on the abdomen. A long thin tube (telescope) with an attached camera is passed into the abdomen. The pelvic and abdominal organs are visualized.
Hysteroscopy allows a surgeon the inside the uterine cavity. The tubal ostia (opening of the fallopian tube into the uterine cavity) is noted. A fine guidewire is passed into the tubal Ostia. This guidewire is carefully used to unforce the tube. A dye is passed into the fallopian tube to check where the fallopian tube is patent. This passage of dye can be observed through the laparoscope.
- History of infertility due to tubal factors.
- Tubal block diagnosed by HSG or Laparoscope.
The published evidence suggests must fallopian tube cannulation achieves tubal patency up to 70% and successful in achieving in pregnancy in 10%-20% of women.
- Fallopian tube cannulation is generally regarded as a safe procedure.
- Complications are rare and can detect by laparoscopy and hysteroscopy.
- Perforate of the fallopian tube.
- Injury to organs.
- Injury to blood vessels.
- Ectopic pregnancy.
It will be done as a daycare procedure. The patient might required rest for a week and can resume back to work as early as she is comfortable. She should avoid having intercourse until the bleeding from the vagina stopped. However, should avoid lifting a heavyweight for 6 weeks.