The selective salpingogram is a simple and non-invasive method for the diagnosis and treatment of various tubal diseases.
Describing the procedure of selective salpingogram, cervical canula is initially inserted into the uterus and supported by ballooning. And then, a 6F catheter is inserted into the tubal ostium with the aid of a J-shaped guide wire and the guide
wire is
advanced into the tube under fluroscopy.
In previous studies, they applied this method for the treatment of proximal tubal obstruction only, but we used this method for both treatment and diagnosis of the tubal obstruction, treatment of the unruptured tubal pregnancy by injection of PG
F2αand
GIFT.
We recanalized the 130 cases (87.8%) among the proximal tubal obstruction group and pregnancy rate of recanalized patients was 31.4%.
Using this method, we found the 28 cases of fimbrial obstruction, which could not bedetected by conventional hysterosalpingogram.
We used this method for the treatment of cases with unruptured tubal pregnances by local PC F2αinjection. The successful rate of this treatment was 66.7%.
In conclusion, we suggest that we use the selective salpingogram as a safe and simple method for the treatment & diagnosis of various fallopian tubal diseases.
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