Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study
Objectives. To determine fertility outcomes following laparoscopy-guided hysteroscopic tubal cannulation for cornual obstruction. Study Design. A prospective cohort study in Life Institute for Endoscopy at Life Specialist Hospital Nnewi, Southeast Nigeria. Patients with unilateral or bilateral cornu...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2018/7060459 |
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| author | Joseph I. Ikechebelu George U. Eleje Prashant Bhamare Ngozi N. Joe-Ikechebelu Chidimma D. Okafor Abdulhakeem O. Akintobi |
| author_facet | Joseph I. Ikechebelu George U. Eleje Prashant Bhamare Ngozi N. Joe-Ikechebelu Chidimma D. Okafor Abdulhakeem O. Akintobi |
| author_sort | Joseph I. Ikechebelu |
| collection | DOAJ |
| description | Objectives. To determine fertility outcomes following laparoscopy-guided hysteroscopic tubal cannulation for cornual obstruction. Study Design. A prospective cohort study in Life Institute for Endoscopy at Life Specialist Hospital Nnewi, Southeast Nigeria. Patients with unilateral or bilateral cornual tubal obstruction as the only cause of infertility were included. Outcome measures included successful tubal recanalization, procedural complications, conception rates (first spontaneous conception after the procedure), and live birth rates. Results. Forty-nine infertile women were assessed for eligibility, but 27 met the inclusion criteria. Of 27 women, 24 (88.9%) had bilateral cornual obstruction and 3 (11.1%) had unilateral obstruction. Only three (11.1%) patients had failed cannulation. Successful recanalization rate was 90.2% (46/51) per tube and 88.9% (24/27) per patient. In the 24 patients with successfully recanalization, six spontaneous pregnancies (25.0%) and two intrauterine insemination-assisted pregnancies (8.3%) occurred within first six months of follow-up. All the eight (100.0%) pregnancies were intrauterine. The overall conception rate and live birth rate was 33.3%. There were no pre- or postprocedural complications. Conclusion. Successful recanalization rate was 90.2% per tube and 88.9% per patient with a conception rate of 33.3%. Women with only cornual obstruction should be considered first for laparoscopy-assisted hysteroscopic cannulation before assisted reproduction. |
| format | Article |
| id | doaj-art-ebcdf79547454000a6f69d8eb7c8747d |
| institution | DOAJ |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-ebcdf79547454000a6f69d8eb7c8747d2025-08-20T03:21:18ZengWileyObstetrics and Gynecology International1687-95891687-95972018-01-01201810.1155/2018/70604597060459Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary StudyJoseph I. Ikechebelu0George U. Eleje1Prashant Bhamare2Ngozi N. Joe-Ikechebelu3Chidimma D. Okafor4Abdulhakeem O. Akintobi5Life Institute for Endoscopy, Life Specialist Hospital Limited, 7 Ikemba Drive, Umudim, Nnewi, Anambra State, NigeriaEffective Care Research Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, NigeriaMatushree Hospital, Charkop, Kandivali, Mumbai, IndiaDepartment of Community Medicine, Chukwuemeka Odumegwu Ojukwu University, Amaku, Awka, NigeriaLife Institute for Endoscopy, Life Specialist Hospital Limited, 7 Ikemba Drive, Umudim, Nnewi, Anambra State, NigeriaDepartment of Obstetrics and Gynaecology, Asokoro District Hospital, FCT Abuja, NigeriaObjectives. To determine fertility outcomes following laparoscopy-guided hysteroscopic tubal cannulation for cornual obstruction. Study Design. A prospective cohort study in Life Institute for Endoscopy at Life Specialist Hospital Nnewi, Southeast Nigeria. Patients with unilateral or bilateral cornual tubal obstruction as the only cause of infertility were included. Outcome measures included successful tubal recanalization, procedural complications, conception rates (first spontaneous conception after the procedure), and live birth rates. Results. Forty-nine infertile women were assessed for eligibility, but 27 met the inclusion criteria. Of 27 women, 24 (88.9%) had bilateral cornual obstruction and 3 (11.1%) had unilateral obstruction. Only three (11.1%) patients had failed cannulation. Successful recanalization rate was 90.2% (46/51) per tube and 88.9% (24/27) per patient. In the 24 patients with successfully recanalization, six spontaneous pregnancies (25.0%) and two intrauterine insemination-assisted pregnancies (8.3%) occurred within first six months of follow-up. All the eight (100.0%) pregnancies were intrauterine. The overall conception rate and live birth rate was 33.3%. There were no pre- or postprocedural complications. Conclusion. Successful recanalization rate was 90.2% per tube and 88.9% per patient with a conception rate of 33.3%. Women with only cornual obstruction should be considered first for laparoscopy-assisted hysteroscopic cannulation before assisted reproduction.http://dx.doi.org/10.1155/2018/7060459 |
| spellingShingle | Joseph I. Ikechebelu George U. Eleje Prashant Bhamare Ngozi N. Joe-Ikechebelu Chidimma D. Okafor Abdulhakeem O. Akintobi Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study Obstetrics and Gynecology International |
| title | Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study |
| title_full | Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study |
| title_fullStr | Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study |
| title_full_unstemmed | Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study |
| title_short | Fertility Outcomes following Laparoscopy-Assisted Hysteroscopic Fallopian Tube Cannulation: A Preliminary Study |
| title_sort | fertility outcomes following laparoscopy assisted hysteroscopic fallopian tube cannulation a preliminary study |
| url | http://dx.doi.org/10.1155/2018/7060459 |
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