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Human Reproduction Update, Vol.2, No.5 pp.429-433, 1996
© European Society of Human Reproduction and Embryology 1996; all rights reserved

The assessment of tubal functional status by tubal perfusion pressure measurements

VC Karande0, DE Pratt and N Gleicher

Division of GynecoRadiology, Center for Human Reproduction and the Foundation for Reproductive Medicine, 750 New Orleans Street, Chicago, IL 60610, USA 0 Corresponding author

Abstract

The measurement of tubal perfusion pressures (TPP) is a recent advance in the field of gynaecoradiology. Measurement of TPP involves a standardized technique using transcervically placed tubal catheters which is reviewed in detail. TPP assesses the functional status of the Fallopian tubes, i.e. their ability to permit pregnancy. Infertile patients with normal TPP demonstrated a higher pregnancy rate (10 out of 23) than patients with elevated TPP (four out of 24, P <0.05). Analysis of patients who had undergone a laparoscopy as well as measurement of TPP suggest that elevated TPP are highly indicative of tubal endometriosis. Tubal catheterization with wireguides was successful in reducing mildly elevated TPP. The impact of this procedure on pregnancy rates in not known. The use of the gynaecoradiological techniques discussed in this paper has reduced the need for diagnostic laparoscopy at our centre by >60%. This was achieved without compromise in pregnancy rates and has resulted in a considerable reduction in cost.

Keywords: selective salpingography/tubal perfusion pressures/tubal catheterization


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