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Title: Outcomes after successful fallopian tube recanalization- A large single institution experience : Observational retrospective study.
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  • Joshua Marlow,
  • Daniel Picus,
  • Jennifer Gould,
  • Sarah Connolly,
  • Naganathan Mani
Joshua Marlow
Washington University in Saint Louis School of Medicine
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Daniel Picus
Washington University in Saint Louis School of Medicine
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Jennifer Gould
Washington University in Saint Louis School of Medicine
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Sarah Connolly
Washington University in Saint Louis School of Medicine
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Naganathan Mani
Washington University in Saint Louis School of Medicine
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Abstract

Purpose: To determine outcomes after successful fallopian tube recanalization (FTR) in women who suffer infertility with documented tubal occlusion on hysterosalpingogram.(HSG) Methods: A retrospective review of consecutive successful FTR procedures from January 2010 to December 2016 was performed. 53 women who had HSG confirmed tubal occlusion from a single academic medical center and successful FTR were eligible for inclusion. 35 (66.0%) patients had follow up at 12 months after FTR, with 13 conceiving within a year of the procedure. Complication, conception, and take-home-baby (THB) rates were recorded. The average age of patients was 32.3 years (range 26-42 years). All patients received peri- and post-procedure antibiotics. Results: Average follow-up after FTR was 1335 days. All patients tolerated the procedure well with no immediate complications. 13 (37.1%) became pregnant after FTR. Of these women, 2 had ectopic pregnancies and 2 patients had spontaneous abortions. The THB rate after FTR for all patients was 25.7%. The THB rate in women who became pregnant after FTR was 69.2%. Of those women who did not become pregnant after FTR, 19 (84.6%) went to assisted reproductive techniques, and of those, 8 (42.1%) became pregnant. Conclusion: Infertility affects 8.4% of U.S. women, with tubal disease a major causative factor. In our study, successful FTR led to pregnancy in over a third of the patients with the majority giving birth to healthy babies. Given the success of obtaining pregnancy in combination with a low complication rate, FTR is a viable option in women who suffer from tubal infertility