Transcervical Balloon Tuboplasty: A Multicenter Study

Edmond Confino; Ilan Tur-Kaspa; Alan DeCherney; Randle Corfman; Carolyn Coulam; Earle Robinson; Gilbert Haas; Eugene Katz; Michael Vermesh; Norbert Gleicher

doi:10.1001/jama.1990.03450160049027

Transcervical Balloon Tuboplasty: A Multicenter Study

Edmond Confino, Ilan Tur-Kaspa, Alan DeCherney, Randle Corfman, Carolyn Coulam, Earle Robinson, Gilbert Haas, Eugene Katz, Michael Vermesh, Norbert Gleicher

Research output: Contribution to journal › Article › peer-review

85 Scopus citations

Abstract

Transcervical balloon tuboplasty represents a noninvasive technique to treat proximal tubal occlusion. In a multicenter study, 77 women with confirmed bilateral proximal tubal occlusion underwent the procedure. In 71 patients (92%), at least one proximally obstructed fallopian tube was recanalized. Concomitant distal bilateral tubal occlusions were diagnosed after successful proximal tubal balloon recanalizations in 13 patients (17%). In the remaining 64 patients, 22 clinical pregnancies (34%) have been confirmed during a median follow-up period of 12 months. Among those, 17 (77%) resulted in normal deliveries and five (23%) resulted in a first-trimester miscarriage. One patient was diagnosed with an ectopic pregnancy. Among 25 patients who had not conceived within 6 months of the procedure, 17 (68%) demonstrated continuing tubal patency on repeated hysterosalpingogram. We conclude that transcervical balloon tuboplasty is a safe outpatient technique that may represent an alternative to in vitro fertilization or microsurgical reanastomosis of fallopian tubes.

Original language	English
Pages (from-to)	2079-2082
Number of pages	4
Journal	JAMA - Journal of the American Medical Association
Volume	264
Issue number	16
DOIs	https://doi.org/10.1001/jama.1990.03450160049027
State	Published - 24 Oct 1990
Externally published	Yes

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1001/jama.1990.03450160049027

Cite this

@article{51dd0e01acf34343a4b65a3b058d2af5,

title = "Transcervical Balloon Tuboplasty: A Multicenter Study",

abstract = "Transcervical balloon tuboplasty represents a noninvasive technique to treat proximal tubal occlusion. In a multicenter study, 77 women with confirmed bilateral proximal tubal occlusion underwent the procedure. In 71 patients (92%), at least one proximally obstructed fallopian tube was recanalized. Concomitant distal bilateral tubal occlusions were diagnosed after successful proximal tubal balloon recanalizations in 13 patients (17%). In the remaining 64 patients, 22 clinical pregnancies (34%) have been confirmed during a median follow-up period of 12 months. Among those, 17 (77%) resulted in normal deliveries and five (23%) resulted in a first-trimester miscarriage. One patient was diagnosed with an ectopic pregnancy. Among 25 patients who had not conceived within 6 months of the procedure, 17 (68%) demonstrated continuing tubal patency on repeated hysterosalpingogram. We conclude that transcervical balloon tuboplasty is a safe outpatient technique that may represent an alternative to in vitro fertilization or microsurgical reanastomosis of fallopian tubes.",

author = "Edmond Confino and Ilan Tur-Kaspa and Alan DeCherney and Randle Corfman and Carolyn Coulam and Earle Robinson and Gilbert Haas and Eugene Katz and Michael Vermesh and Norbert Gleicher",

year = "1990",

month = oct,

day = "24",

doi = "10.1001/jama.1990.03450160049027",

language = "English",

volume = "264",

pages = "2079--2082",

journal = "JAMA - Journal of the American Medical Association",

issn = "0098-7484",

publisher = "American Medical Association",

number = "16",

}

TY - JOUR

T1 - Transcervical Balloon Tuboplasty

T2 - A Multicenter Study

AU - Confino, Edmond

AU - Tur-Kaspa, Ilan

AU - DeCherney, Alan

AU - Corfman, Randle

AU - Coulam, Carolyn

AU - Robinson, Earle

AU - Haas, Gilbert

AU - Katz, Eugene

AU - Vermesh, Michael

AU - Gleicher, Norbert

PY - 1990/10/24

Y1 - 1990/10/24

N2 - Transcervical balloon tuboplasty represents a noninvasive technique to treat proximal tubal occlusion. In a multicenter study, 77 women with confirmed bilateral proximal tubal occlusion underwent the procedure. In 71 patients (92%), at least one proximally obstructed fallopian tube was recanalized. Concomitant distal bilateral tubal occlusions were diagnosed after successful proximal tubal balloon recanalizations in 13 patients (17%). In the remaining 64 patients, 22 clinical pregnancies (34%) have been confirmed during a median follow-up period of 12 months. Among those, 17 (77%) resulted in normal deliveries and five (23%) resulted in a first-trimester miscarriage. One patient was diagnosed with an ectopic pregnancy. Among 25 patients who had not conceived within 6 months of the procedure, 17 (68%) demonstrated continuing tubal patency on repeated hysterosalpingogram. We conclude that transcervical balloon tuboplasty is a safe outpatient technique that may represent an alternative to in vitro fertilization or microsurgical reanastomosis of fallopian tubes.

AB - Transcervical balloon tuboplasty represents a noninvasive technique to treat proximal tubal occlusion. In a multicenter study, 77 women with confirmed bilateral proximal tubal occlusion underwent the procedure. In 71 patients (92%), at least one proximally obstructed fallopian tube was recanalized. Concomitant distal bilateral tubal occlusions were diagnosed after successful proximal tubal balloon recanalizations in 13 patients (17%). In the remaining 64 patients, 22 clinical pregnancies (34%) have been confirmed during a median follow-up period of 12 months. Among those, 17 (77%) resulted in normal deliveries and five (23%) resulted in a first-trimester miscarriage. One patient was diagnosed with an ectopic pregnancy. Among 25 patients who had not conceived within 6 months of the procedure, 17 (68%) demonstrated continuing tubal patency on repeated hysterosalpingogram. We conclude that transcervical balloon tuboplasty is a safe outpatient technique that may represent an alternative to in vitro fertilization or microsurgical reanastomosis of fallopian tubes.

UR - http://www.scopus.com/inward/record.url?scp=0025124037&partnerID=8YFLogxK

U2 - 10.1001/jama.1990.03450160049027

DO - 10.1001/jama.1990.03450160049027

M3 - Article

AN - SCOPUS:0025124037

SN - 0098-7484

VL - 264

SP - 2079

EP - 2082

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

IS - 16

ER -

Transcervical Balloon Tuboplasty: A Multicenter Study

Abstract

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this